Total Payments
$47,939
2024 Payments
$784.33
Companies
18
Transactions
240
Medicare Patients
1,541
Medicare Billing
$193,707
Payment Breakdown by Category
Travel$28,290 (59.0%)
Food & Beverage$14,361 (30.0%)
Consulting$4,950 (10.3%)
Other$170.91 (0.4%)
Gifts$166.67 (0.3%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Travel and Lodging | $28,290 | 36 | 59.0% |
| Food and Beverage | $14,361 | 195 | 30.0% |
| Consulting Fee | $4,950 | 4 | 10.3% |
| Entertainment | $170.91 | 3 | 0.4% |
| Gift | $166.67 | 2 | 0.3% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| SPINEART USA INC | $32,999 | 145 | $0 (2024) |
| CoreLink, LLC | $11,855 | 49 | $0 (2023) |
| Alphatec Spine, Inc | $2,317 | 24 | $0 (2022) |
| Medtronic USA, Inc. | $251.53 | 6 | $0 (2020) |
| Titan Spine, LLC | $107.11 | 1 | $0 (2017) |
| Spineology Inc. | $82.53 | 2 | $0 (2019) |
| NuVasive, Inc. | $61.87 | 1 | $0 (2022) |
| Orthofix Medical, Inc. | $59.44 | 1 | $0 (2024) |
| Stryker Corporation | $26.97 | 1 | $0 (2019) |
| Medtronic, Inc. | $24.50 | 2 | $0 (2021) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $784.33 | 16 | SPINEART USA INC ($703.47) |
| 2023 | $6,428 | 35 | Spineart USA Inc ($6,380) |
| 2022 | $1,515 | 16 | Alphatec Spine, Inc ($872.00) |
| 2021 | $11,893 | 58 | CoreLink, LLC ($7,258) |
| 2020 | $6,620 | 20 | SPINEART USA INC ($4,266) |
| 2019 | $6,745 | 36 | Spineart USA Inc ($4,725) |
| 2018 | $11,364 | 37 | Spineart USA Inc ($11,308) |
| 2017 | $2,590 | 22 | Spineart USA Inc ($2,277) |
All Payment Transactions
240 individual payment records from CMS Open Payments — Page 1 of 10
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/03/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $43.97 | General |
| Category: Orthopedic | ||||||
| 11/04/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $53.09 | General |
| Category: Orthopedic | ||||||
| 09/30/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $44.18 | General |
| Category: Orthopedic | ||||||
| 09/19/2024 | VERTEX PHARMACEUTICALS INCORPORATED | — | Food and Beverage | In-kind items and services | $21.42 | General |
| 08/26/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $41.35 | General |
| Category: Orthopedics | ||||||
| 08/16/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $40.00 | General |
| Category: Orthopedic | ||||||
| 08/16/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $34.47 | General |
| Category: Orthopedics | ||||||
| 07/26/2024 | SPINEART USA INC | SACRLET AC-T INSTRUMENTATION (Device) | Food and Beverage | Cash or cash equivalent | $50.75 | General |
| Category: Orthopedic | ||||||
| 06/17/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $17.84 | General |
| Category: Orthopedic | ||||||
| 06/12/2024 | SPINEART USA INC | JULIET LL LATERAL LUMBAR CAGE (Device) | Food and Beverage | Cash or cash equivalent | $70.80 | General |
| Category: Orthopedics | ||||||
| 05/20/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $104.33 | General |
| Category: Orthopedic | ||||||
| 03/23/2024 | SPINEART USA INC | — | Food and Beverage | Cash or cash equivalent | $72.80 | General |
| 03/23/2024 | SPINEART USA INC | — | Food and Beverage | Cash or cash equivalent | $54.13 | General |
| 01/28/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $53.14 | General |
| Category: Orthopedic | ||||||
| 01/28/2024 | SPINEART USA INC | Perla TL (Device) | Food and Beverage | Cash or cash equivalent | $22.62 | General |
| Category: Orthopedic | ||||||
| 01/20/2024 | Orthofix Medical, Inc. | Spinal-Stim (Device) | Food and Beverage | In-kind items and services | $59.44 | General |
| Category: Stimulator, Bone Growth, Non-Invasive | ||||||
| 12/29/2023 | Spineart USA Inc | PERLA TL (Device) | Food and Beverage | Cash or cash equivalent | $50.11 | General |
| Category: Orthopedic | ||||||
| 10/04/2023 | Spineart USA Inc | PERLA TL (Device) | Food and Beverage | Cash or cash equivalent | $104.50 | General |
| Category: Orthopedic | ||||||
| 10/04/2023 | Spineart USA Inc | PERLA TL (Device) | Food and Beverage | Cash or cash equivalent | $58.23 | General |
| Category: Orthopedic | ||||||
| 10/04/2023 | Spineart USA Inc | PERLA TL (Device) | Food and Beverage | Cash or cash equivalent | $23.09 | General |
| Category: Orthopedic | ||||||
| 10/04/2023 | Spineart USA Inc | CURE ACP (Device) | Food and Beverage | Cash or cash equivalent | $21.55 | General |
| Category: Orthopedics | ||||||
| 10/04/2023 | Spineart USA Inc | PERLA TL (Device) | Food and Beverage | Cash or cash equivalent | $17.12 | General |
| Category: Orthopedic | ||||||
| 09/22/2023 | Spineart USA Inc | CURE ACP (Device) | Food and Beverage | Cash or cash equivalent | $17.73 | General |
| Category: Orthopedics | ||||||
| 09/14/2023 | Xtant Medical Inc | — | Food and Beverage | Cash or cash equivalent | $24.28 | General |
| 07/31/2023 | Spineart USA Inc | PERLA C (Device) | Travel and Lodging | Cash or cash equivalent | $547.11 | General |
| Category: Orthopedics | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 1 | 13 | 13 | $4,550 | $2,009 |
| 2021 | 14 | 758 | 947 | $372,192 | $119,494 |
| 2020 | 12 | 770 | 1,134 | $246,720 | $72,205 |
Total Patients
1,541
Total Services
2,094
Medicare Billing
$193,707
Procedure Codes
27
All Medicare Procedures & Services
27 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 13 | 13 | $4,550 | $2,009 | 44.2% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 159 | 186 | $46,686 | $21,926 | 47.0% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 196 | 278 | $47,816 | $21,597 | 45.2% |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach, single interspace and segment | Facility | 2021 | 14 | 14 | $53,605 | $20,871 | 38.9% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2021 | 31 | 54 | $35,357 | $11,059 | 31.3% |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | Facility | 2021 | 15 | 15 | $23,345 | $9,271 | 39.7% |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | Facility | 2021 | 12 | 12 | $40,728 | $8,338 | 20.5% |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | Office | 2021 | 115 | 116 | $14,152 | $5,777 | 40.8% |
| 72148 | Mri scan of lower spinal canal | Office | 2021 | 40 | 40 | $60,040 | $5,587 | 9.3% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 30 | 30 | $11,310 | $4,703 | 41.6% |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | Office | 2021 | 63 | 111 | $10,767 | $4,253 | 39.5% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 26 | 26 | $6,526 | $2,175 | 33.3% |
| 72050 | X-ray of upper spine, 4 or 5 views | Office | 2021 | 31 | 31 | $3,472 | $1,642 | 47.3% |
| 72141 | Mri scan of upper spinal canal | Office | 2021 | 12 | 12 | $16,584 | $1,476 | 8.9% |
| 72040 | X-ray of spine of neck, 2 or 3 views | Office | 2021 | 14 | 22 | $1,804 | $816.93 | 45.3% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 317 | 518 | $89,096 | $34,208 | 38.4% |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | Office | 2020 | 100 | 100 | $25,100 | $9,327 | 37.2% |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | Facility | 2020 | 24 | 40 | $26,726 | $7,899 | 29.6% |
| 72148 | Mri scan of lower spinal canal | Office | 2020 | 46 | 46 | $69,046 | $6,393 | 9.3% |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | Office | 2020 | 130 | 133 | $16,226 | $6,291 | 38.8% |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | Office | 2020 | 37 | 72 | $6,984 | $2,694 | 38.6% |
| 72050 | X-ray of upper spine, 4 or 5 views | Office | 2020 | 44 | 44 | $4,928 | $2,129 | 43.2% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 13 | 13 | $3,263 | $1,242 | 38.1% |
| 20552 | Injections of trigger points in 1 or 2 muscles | Office | 2020 | 15 | 18 | $2,358 | $919.32 | 39.0% |
| 73502 | X-ray of hip with pelvis, 2-3 views | Office | 2020 | 11 | 13 | $1,352 | $519.94 | 38.5% |
About Dr. David Nelles, MD
Dr. David Nelles, MD is a Orthopaedic Surgery of the Spine healthcare provider based in Edmonds, Washington. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/03/2009. The National Provider Identifier (NPI) number assigned to this provider is 1760710610.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. David Nelles, MD has received a total of $47,939 in payments from pharmaceutical and medical device companies, with $784.33 received in 2024. These payments were reported across 240 transactions from 18 companies. The most common payment nature is "Travel and Lodging" ($28,290).
As a Medicare-enrolled provider, Nelles has provided services to 1,541 Medicare beneficiaries, totaling 2,094 services with total Medicare billing of $193,707. Data is available for 3 years (2020–2023), covering 27 distinct procedure/service records.
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Practice Information
- Specialty Orthopaedic Surgery of the Spine
- Other Specialties Orthopaedic Surgery of the Spine, Orthopaedic Surgery
- Location Edmonds, WA
- Active Since 12/03/2009
- Last Updated 02/03/2026
- Taxonomy Code 207XS0117X
- Entity Type Individual
- NPI Number 1760710610
Products in Payments
- PERLA C (Device) $6,386
- PERLA TL (Device) $5,003
- JULIET TL Ti (Device) $1,329
- SCARLET AL-T (Device) $908.52
- Other - Miscellaneous (Device) $645.96
- Perla TL (Device) $454.99
- CURE ACP (Device) $293.37
- KYPHON Balloon Kyphoplasty (Device) $159.28
- IdentiTi (Device) $156.43
- TITAN ENDOSKELETON (Device) $107.11
- nanoLOCK-C (Device) $92.25
- JULIET LL LATERAL LUMBAR CAGE (Device) $70.80
- BAGUERA C (Device) $66.67
- Fortress Pedicle Screw System (Device) $63.63
- Simplify Cervical Artificial Disc (Device) $61.87
- Spinal-Stim (Device) $59.44
- SACRLET AC-T INSTRUMENTATION (Device) $50.75
- AMP (Device) $46.66
- CHESAPEAKE (Device) $26.97
- Mobi-C (Device) $21.15
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.