Timothy Metz, MD
Pain Medicine · Sioux Falls, SDNPI 1356410161
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $27,979 of the $36,359 with a category attached, or 77.0%. Medtronic accounts for 99.9% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2023 at $12,131 and has fallen 98.2% since, to $215 in 2025.
Across 225 payments — averaging $161.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$36K
- Convatec Inc.$19
Across 2 payments — averaging $820.00 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.
- Medtronic$2K
What the payments were for
- Speaking & faculty fees$27,97977%
- Travel & lodging$3,1299%
- Food & beverage$5,25014%
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 |
|---|---|---|
| Medtronic(2 entities) | 224 | $36,340 |
| Convatec 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.
- SYNCHROMEDII$19,231
- SYNCHROMED$8,748
- ADAPTIVESTIM$2,506
- OSTEOCOOL RF ABLATION$916
- INTELLIS ADAPTIVESTIM$559
- INTELLIS$310
- KYPHON Balloon Kyphoplasty$115
How this compares
Too few pain medicine providers in South Dakotato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Mupirocin | 40 | $264 |
| Tramadol Hcl | 19 | $25 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Sioux Falls
- James DreessenSioux Falls$9K
- Brent ThurnessSioux Falls$7K
- James BrunzSioux Falls$5K
- Samuel BartmessSioux Falls$995
- Thomas BoetelSioux Falls$581
- Christopher JanssenSioux Falls$203
- Scott LockwoodSioux Falls$134
- Jeremy PoulsenDakota Dunes$5K
- Shawna SchmidtAberdeen$5K
- John CookDakota Dunes$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.