Samir Nayyar, MD
Orthopaedic Surgery · Victorville, CANPI 1063703270
Payments from drug & device makers
What this record shows
This record is dominated by other: $138,976 of the $183,303 with a category attached, or 75.8%. Zimmer Biomet accounts for 76.0% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2023 at $140,554 and has fallen 89.5% since, to $14,820 in 2025. Among orthopaedic surgery clinicians in CA 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 88 payments — averaging $2082.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$139K
- US Implant Solutions, LLC$22K
- Advanced Orthopaedic Solutions, Inc.$7K
- Arthrex$5K
- Intellijoint Surgical Inc.$4K
- Acelrx Pharmaceuticals, Inc.$2K
- plus $4K from 23 others
Across 3 payments — averaging $49,576 each. An ownership or investment interest held by the physician or an immediate family member.
- Zimmer Biomet$149K
What the payments were for
- Consulting fees$20,45411%
- Speaking & faculty fees$5,7003%
- Travel & lodging$13,0007%
- Food & beverage$3,3182%
- Education$1,8551%
- Other$138,97676%
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 |
|---|---|---|
| Zimmer Biomet | 10 | $139,244 |
| US Implant Solutions, LLC | 7 | $22,213 |
| Advanced Orthopaedic Solutions, Inc. | 6 | $7,087 |
| Arthrex | 6 | $4,948 |
| Intellijoint Surgical Inc. | 1 | $3,900 |
| Acelrx Pharmaceuticals, Inc. | 1 | $2,000 |
| Stryker(2 entities) | 7 | $1,198 |
| Sportstek Medical, Inc | 2 | $681 |
| Pavmed Inc. | 3 | $648 |
| Bone Support Inc. | 3 | $238 |
| Smith+Nephew | 11 | $228 |
| Innocoll Pharmaceuticals Limited | 1 | $183 |
| Bioventus LLC | 4 | $157 |
| Pacira Therapeutics, Inc. | 5 | $89 |
| Baudax Bio Inc. | 1 | $67 |
| Avanos Medical | 3 | $55 |
| Encore Medical, LP | 1 | $51 |
| Pacira Pharmaceuticals Incorporated | 2 | $42 |
| Johnson & Johnson | 2 | $41 |
| Anika Therapeutics, Inc. | 1 | $37 |
| Fidia Pharma USA Inc. | 2 | $35 |
| GSK | 1 | $32 |
| Baxter Healthcare | 2 | $27 |
| Inari Medical, Inc. | 1 | $25 |
| Medtronic | 1 | $22 |
| Sanofi-aventis U.S. LLC | 1 | $17 |
| Davol Inc. | 1 | $14 |
| Radius Health, Inc. | 1 | $12 |
| My01 Inc. | 1 | $11 |
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.
- TAPESTRY$138,805
- Trochanteric Nail$5,400
- Intellijoint HIP$3,900
- DSUVIA$2,000
- AOS PRODUCTS$1,387
- MAKO$1,111
- CARPX$483
- Ankle Plate$300
- XARACOLL$183
- CERAMENTBONE VOID FILLER$132
- CERAMENT G$132
- ROSA$121
How this compares
$183,303 in reported general payments places this provider in the 90th percentile of 1,808 orthopaedic surgery providers in California.
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 | 72 | $1,301 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 68 | $682 |
| Ibuprofen | 42 | $430 |
| Cephalexin | 31 | $358 |
| Diclofenac Sodium | 16 | $321 |
| Tramadol Hcl | 51 | $230 |
| Meloxicam | 56 | $78 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $57 |
| Cyclobenzaprine Hcl | 12 | $55 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Victorville
- Bradford HackArcadia$18.3M
- Robert GorabOrange$13.6M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Nirav AminPlacentia$5.6M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
- Peter NewtonSan Diego$4.2M
- Sigurd BervenSan Francisco$4.1M
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.