Thomas Fortney, MD
Orthopaedic Surgery · Nashua, NHNPI 1386006591
Payments from drug & device makers
What this record shows
This record is dominated by education: $46,234 of the $54,099 with a category attached, or 85.5%. Smith+Nephew accounts for 67.6% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2022 at $46,891 and has fallen 94.9% since, to $2,413 in 2025. Among orthopaedic surgery clinicians in NH 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 119 payments — averaging $454.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$37K
- Arthrex$4K
- Gotham Surgical Solutions & Devices, Inc.$4K
- Stryker$3K
- Kairos Surgical Inc$3K
- Medical Device Business Services, Inc.$2K
- plus $2K from 10 others
What the payments were for
- Travel & lodging$3,3866%
- Food & beverage$4,4798%
- Education$46,23485%
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 | 4 | $36,591 |
| Arthrex | 21 | $4,191 |
| Gotham Surgical Solutions & Devices, Inc. | 6 | $3,885 |
| Stryker | 38 | $3,304 |
| Kairos Surgical Inc | 6 | $2,616 |
| Medical Device Business Services, Inc. | 12 | $1,967 |
| Zimmer Biomet | 9 | $710 |
| Medacta USA, Inc. | 3 | $196 |
| Johnson & Johnson(3 entities) | 5 | $165 |
| Miach Orthopaedics, Inc. | 1 | $103 |
| Bioventus LLC | 3 | $79 |
| Skeletal Dynamics Inc | 1 | $78 |
| Orthofix Medical, Inc. | 3 | $70 |
| Pacira Pharmaceuticals Incorporated | 3 | $66 |
| Vertex | 3 | $52 |
| Powerlink AI, Inc. | 1 | $24 |
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.
- MAKO$853
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$830
- AEQUALIS PERFORM$276
- AEQUALIS FLEX REVIVE$271
- STRATAFIX$137
- NextAR RSA Platform$130
- Bioinductive Implant with Arthroscopic Delivery System - Medium$129
- TAPESTRY$124
- Comprehensive Shoulder System$124
- Juggerknotless Soft Anchor$112
- T2 ALPHA$111
- COMPREHENSIVE$109
How this compares
$54,099 in reported general payments places this provider in the 90th percentile of 141 orthopaedic surgery providers in New Hampshire.
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 Hcl | 103 | $370 |
| Ondansetron Hcl | 60 | $143 |
| Gabapentin | 91 | $132 |
| Omeprazole | 58 | $119 |
| Ketorolac Tromethamine | 16 | $114 |
| Meloxicam | 28 | $101 |
| Cyclobenzaprine Hcl | 17 | $71 |
| Cephalexin | 17 | $51 |
| Amoxicillin | 17 | $10 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Nashua
- David RichardsNashua$122K
- Christian KlareNashua$88K
- Matthew WilkeningNashua$79K
- Peter EyvazzadehNashua$19K
- Anand PadmanabhaNashua$16K
- Bryan BeanNashua$11K
- Andrew GarberNashua$9K
- Jason SmoakNashua$8K
- James BargerNashua$7K
- Daniel BouvierNashua$5K
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.