Tyler Welch, MD
Sports Medicine · Portsmouth, NHNPI 1962663237
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.8%), education and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Arthrex at 30.9% of the total. Reporting peaked in 2020 at $2,397 and has fallen 88.2% since, to $284 in 2025.
Across 40 payments — averaging $147.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Stryker$2K
- Smith+Nephew$479
- Kairos Surgical Inc$422
- Pacira Pharmaceuticals Incorporated$353
- Johnson & Johnson$262
- plus $884 from 11 others
What the payments were for
- Travel & lodging$1,03918%
- Food & beverage$3,05352%
- Education$1,80531%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 2 | $1,821 |
| Stryker | 13 | $1,677 |
| Smith+Nephew | 5 | $479 |
| Kairos Surgical Inc | 1 | $422 |
| Pacira Pharmaceuticals Incorporated | 4 | $353 |
| Johnson & Johnson | 3 | $262 |
| Pacira Therapeutics, Inc. | 2 | $174 |
| Linvatec Corporation | 1 | $149 |
| Bioventus LLC | 1 | $147 |
| Heraeus Medical, LLC. | 1 | $107 |
| Skeletal Dynamics Inc | 1 | $107 |
| Convatec Inc. | 1 | $66 |
| Medical Device Business Services, Inc. | 1 | $57 |
| Endo USA, Inc. | 1 | $30 |
| Orthofix Medical, Inc. | 1 | $20 |
| Cerapedics Inc. | 1 | $14 |
| Radius Health, Inc. | 1 | $13 |
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.
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$617
- NA$251
- PIVOT PORTAL ENTRY KIT$189
- EVOS$161
- HIPMAP$161
- FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC)$161
- LINVATEC HIP PRESERVATION SYSTEM$149
- HALL POWER$149
- LINVATEC SHOULDER ARTHROSCOPY$149
- Durolane$147
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$143
- REGENETEN Shoulder$140
- SALVATION$135
- MOTIONSENSE DIGITAL GONIOMETER$135
- Iovera$123
- EXPAREL$113
- PALACOS$107
- Geminus$107
- Align$107
- IJS$107
How this compares
$5,897 in reported general payments places this provider in the 80th percentile of 38 sports medicine 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 48 | $297 |
| Oxycodone Hcl | 30 | $146 |
| Methylprednisolone | 14 | $92 |
| Tramadol Hcl | 17 | $47 |
| Amoxicillin | 42 | $30 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Portsmouth
- Mark CullenPortsmouth$5K
- Jennifer HoppPortsmouth$250
- Jennifer StebbingPortsmouth$167
- John McMahonPortsmouth$22
- Joshua SiegelExeter$438K
- Avnish ClerkExeter$89K
- Neal GoldenbergKeene$38K
- Brendan HigginsConcord$34K
- Jason SimonNashua$9K
- Benjamin ThompsonExeter$8K
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.