William Melton, MD
Hand Surgery · Nashville, TNNPI 1770998221
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,270 of the $5,014 with a category attached, or 65.2%. 18 manufacturers reported payments, led by Trimed, Inc. at 55.9% of the total. Reporting peaked in 2024 at $3,314 and has fallen 95.1% since, to $163 in 2025.
Across 35 payments — averaging $143.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$3K
- Kairos Surgical Inc$809
- Electronic Waveform Lab, Inc.$196
- Skeletal Dynamics Inc$175
- Ensemble Orthopedics, Inc$162
- Axogen$138
- plus $733 from 12 others
What the payments were for
- Travel & lodging$93519%
- Food & beverage$3,27065%
- Education$80916%
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 |
|---|---|---|
| Trimed, Inc. | 11 | $2,801 |
| Kairos Surgical Inc | 1 | $809 |
| Electronic Waveform Lab, Inc. | 1 | $196 |
| Skeletal Dynamics Inc | 3 | $175 |
| Ensemble Orthopedics, Inc | 1 | $162 |
| Axogen | 2 | $138 |
| Medical Device Business Services, Inc. | 1 | $125 |
| Acera Surgical, Inc. | 1 | $118 |
| Medartis Inc. | 1 | $99 |
| Stryker | 3 | $85 |
| Novo Nordisk | 1 | $84 |
| Biocircuit Technologies Inc | 1 | $72 |
| Orthofix Medical, Inc. | 2 | $44 |
| Endo Pharmaceuticals Inc. | 2 | $31 |
| Alpha Orthopedic Systems | 1 | $22 |
| Endo USA, Inc. | 1 | $22 |
| Smith+Nephew | 1 | $16 |
| Integra Lifesciences Corporation | 1 | $14 |
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
$5,014 in reported general payments places this provider in the 55th percentile of 60 hand surgery providers in Tennessee.
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 |
|---|---|---|
| Methylprednisolone | 42 | $226 |
| Oxycodone Hcl | 87 | $142 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $96 |
| Gabapentin | 63 | $92 |
| Meloxicam | 61 | $90 |
| Ondansetron Hcl | 30 | $58 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Nashville
- Donald LeeNashville$546K
- Mihir DesaiNashville$110K
- Gleb MedvedevNashville$60K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Jane SiegelNashville$22K
- Michael VaughnNashville$13K
- Adam CochranNashville$8K
- Shaan PatelNashville$5K
- Samuel CrosbyNashville$4K
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.