Ryan Naujoks, MD
Hand Surgery · Middletown, CTNPI 1497934285
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (45.1%), food and beverage and education — rather than concentrated in one kind of arrangement. Medartis Inc. accounts for 73.3% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2019 at $4,726 and has fallen 94.0% since, to $283 in 2025.
Across 49 payments — averaging $166.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medartis Inc.$6K
- Stryker$1K
- Endo Pharmaceuticals Inc.$202
- Endo USA, Inc.$178
- Smith+Nephew$153
- Acumed LLC$145
- plus $260 from 8 others
What the payments were for
- Speaking & faculty fees$1,36317%
- Travel & lodging$3,68745%
- Food & beverage$1,58019%
- Education$1,55119%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medartis Inc. | 6 | $5,996 |
| Stryker(2 entities) | 11 | $1,245 |
| Endo Pharmaceuticals Inc. | 6 | $202 |
| Endo USA, Inc. | 8 | $178 |
| Smith+Nephew | 5 | $153 |
| Acumed LLC | 1 | $145 |
| Johnson & Johnson | 4 | $81 |
| Vertex | 1 | $32 |
| Axogen | 2 | $32 |
| Dilon Technologies, Inc. | 1 | $29 |
| Celularity Inc. | 1 | $23 |
| Orthofix Medical, Inc. | 1 | $21 |
| Heron Therapeutics, Inc. | 1 | $21 |
| Pacira Therapeutics, Inc. | 1 | $19 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- APTUS$5,859
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$867
- ACUMED$291
- InFrame Implant$145
- XIAFLEX$117
- EVOLVE$115
How this compares
$8,180 in reported general payments places this provider in the 80th percentile of 54 hand surgery providers in Connecticut.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Methylprednisolone | 41 | $345 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Middletown
- Jeffrey ChenMiddletown$2K
- Sean OdonnellMiddletown$537
- Michael RedlerTrumbull$763K
- Richard BernsteinHamden$437K
- Lisa LattanzaNew Haven$156K
- Kenneth DonohueNew Haven$41K
- Paul ProtomastroNorwalk$16K
- Mark VitaleGreenwich$13K
- Erik CarlsonMiddlebury$13K
- Devon BandaGlastonbury$10K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.