Ryan Nelson, DO
Orthopaedic Surgery · Oklahoma City, OKNPI 1225292444
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (36.6%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Smith+Nephew at 45.4% of the total. Among orthopaedic surgery clinicians in OK with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 94 payments — averaging $553.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$24K
- Shoulder Innovations, Inc.$18K
- Lima USA, Inc.$8K
- Stryker$2K
- Pylant Medical$564
- Linvatec Corporation$173
- plus $113 from 3 others
Across 1 payment — averaging $30,800 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$31K
What the payments were for
- Consulting fees$18,75036%
- Speaking & faculty fees$19,04737%
- Travel & lodging$10,57720%
- Food & beverage$3,2806%
- Education$3261%
- Gifts$240%
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 |
|---|---|---|
| Smith+Nephew | 41 | $23,615 |
| Shoulder Innovations, Inc. | 14 | $17,536 |
| Lima USA, Inc. | 11 | $7,587 |
| Stryker | 16 | $2,417 |
| Pylant Medical | 7 | $564 |
| Linvatec Corporation | 1 | $173 |
| Johnson & Johnson | 2 | $66 |
| Medacta USA, Inc. | 1 | $24 |
| Pacira Pharmaceuticals Incorporated | 1 | $22 |
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.
- InSet System$17,495
- MICRORAPTOR$10,096
- SMR Shoulder$6,224
- Coblation Wands$5,220
- Dyonics Powermini/Powermax$5,220
- Coblation$4,622
- BIOSURE REGENESORB$3,320
- FIRSTPASS MINI$3,320
- MAKO$1,937
- 560P High Definition Camera System$1,660
- 500XL Light Source$1,660
- 660HD Image Management System$1,660
- 660HDE Image Management System$1,660
- 500 Insufflator$1,660
- Fast-Fix 360$1,408
- SMR$860
- REUNION$831
- Healicoil$710
- Firstpass$710
- Dyonics Platinum$650
How this compares
$52,004 in reported general payments places this provider in the 90th percentile of 263 orthopaedic surgery providers in Oklahoma.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 136 | $2,343 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 149 | $2,092 |
| Cyclobenzaprine Hcl | 156 | $777 |
| Promethazine Hcl | 108 | $666 |
| Ondansetron Hcl | 30 | $272 |
| Methylprednisolone | 16 | $127 |
| Tizanidine Hcl | 19 | $86 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Oklahoma City
- Andrew ParkinsonOklahoma City$3.1M
- Bradley ReddickOklahoma City$573K
- Jason EmersonOklahoma City$189K
- Ronald DumiganOklahoma City$169K
- Paul MaitinoOklahoma City$110K
- Thomas TkachOklahoma City$83K
- Brian LevingsOklahoma City$80K
- Christopher WhiteOklahoma City$73K
- Raymond SteinmetzOklahoma City$64K
- Michael JohnsonOklahoma City$63K
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.