Ryan Tognotti, PA
Physician Assistant · Carson City, NVNPI 1053939611
Payments from drug & device makers
Across 50 payments — averaging $93.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Stryker$734
- Miach Orthopaedics, Inc.$197
- Smith+Nephew$191
- Vericel Corporation$111
- Novocure Inc.$82
- plus $475 from 12 others
What the payments were for
- Travel & lodging$55512%
- Food & beverage$1,71837%
- Education$2,40051%
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 |
|---|---|---|
| Arthrex | 15 | $2,884 |
| Stryker | 7 | $734 |
| Miach Orthopaedics, Inc. | 1 | $197 |
| Smith+Nephew | 3 | $191 |
| Vericel Corporation | 1 | $111 |
| Novocure Inc. | 1 | $82 |
| Goode Surgical Inc | 3 | $67 |
| Bioventus LLC | 3 | $63 |
| Vertex | 2 | $57 |
| Evolution Surgical, Inc | 3 | $49 |
| Johnson & Johnson | 2 | $43 |
| KCI USA, Inc. | 2 | $36 |
| Alphatec Spine, Inc | 1 | $35 |
| Kowa Pharmaceuticals America, Inc. | 2 | $33 |
| Amgen | 1 | $27 |
| Sanofi-aventis U.S. LLC | 1 | $27 |
| Moximed, Inc | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
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.
How this compares
$4,673 in reported general payments places this provider in the 85th percentile of 881 physician assistant providers in Nevada.
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 | 44 | $423 |
| Diclofenac Sodium | 34 | $301 |
| Celecoxib | 22 | $269 |
| Methylprednisolone | 16 | $108 |
| Tramadol Hcl | 27 | $51 |
| Meloxicam | 17 | $41 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Carson City
- Kyle MachyniaStateline$119K
- Steven HawkesLas Vegas$70K
- John LarsenReno$49K
- Nathan MorganLas Vegas$44K
- Laura BiehleReno$36K
- Benjamin ProhaskaReno$31K
- Adam HarkiewiczHenderson$25K
- Stephanie DastrupLas Vegas$23K
- Sandra OviedoLas Vegas$21K
- Patrick JamesonLas Vegas$20K
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.