Total Payments
$20,722
2024 Payments
$11,967
Companies
7
Transactions
53
Medicare Patients
2,279
Medicare Billing
$503,815
Payment Breakdown by Category
Consulting$11,160 (53.9%)
Travel$7,644 (36.9%)
Food & Beverage$1,918 (9.3%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $11,160 | 3 | 53.9% |
| Travel and Lodging | $7,644 | 26 | 36.9% |
| Food and Beverage | $1,918 | 24 | 9.3% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Medical Device Business Services, Inc. | $11,160 | 3 | $0 (2024) |
| Smith+Nephew, Inc. | $4,866 | 20 | $0 (2023) |
| Stryker Corporation | $2,269 | 13 | $0 (2022) |
| DePuy Synthes Products, Inc. | $1,272 | 11 | $0 (2024) |
| Medtronic USA, Inc. | $664.09 | 4 | $0 (2019) |
| Conformis, Inc. | $369.00 | 1 | $0 (2018) |
| MicroPort Orthopedics Inc | $123.08 | 1 | $0 (2018) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $11,967 | 13 | Medical Device Business Services, Inc. ($10,695) |
| 2023 | $2,486 | 7 | Smith+Nephew, Inc. ($2,021) |
| 2022 | $860.12 | 6 | Stryker Corporation ($584.22) |
| 2019 | $1,949 | 11 | Stryker Corporation ($1,285) |
| 2018 | $1,709 | 6 | Smith & Nephew, Inc. ($1,216) |
| 2017 | $1,752 | 10 | Smith & Nephew, Inc. ($1,353) |
All Payment Transactions
53 individual payment records from CMS Open Payments — Page 1 of 3
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 11/18/2024 | Medical Device Business Services, Inc. | — | Consulting Fee | Cash or cash equivalent | $465.00 | General |
| 06/17/2024 | Medical Device Business Services, Inc. | — | Consulting Fee | Cash or cash equivalent | $10,230.00 | General |
| 05/21/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Travel and Lodging | In-kind items and services | $418.10 | General |
| Category: Ortho-Hip | ||||||
| 05/21/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Food and Beverage | In-kind items and services | $38.52 | General |
| Category: Ortho-Hip | ||||||
| 05/21/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Food and Beverage | In-kind items and services | $11.77 | General |
| Category: Ortho-Hip | ||||||
| 05/17/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Travel and Lodging | In-kind items and services | $61.37 | General |
| Category: Ortho-Hip | ||||||
| 05/16/2024 | DePuy Synthes Products, Inc. | Kincise (Device) | Food and Beverage | In-kind items and services | $35.73 | General |
| Category: Ortho-Hip | ||||||
| 05/16/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Food and Beverage | In-kind items and services | $27.93 | General |
| Category: Ortho-Hip | ||||||
| 05/16/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Food and Beverage | In-kind items and services | $15.64 | General |
| Category: Ortho-Hip | ||||||
| 05/14/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Travel and Lodging | In-kind items and services | $150.65 | General |
| Category: Ortho-Hip | ||||||
| 05/14/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Travel and Lodging | In-kind items and services | $53.23 | General |
| Category: Ortho-Hip | ||||||
| 03/28/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Travel and Lodging | In-kind items and services | $313.47 | General |
| Category: Ortho-Hip | ||||||
| 03/28/2024 | DePuy Synthes Products, Inc. | Velys (Device) | Travel and Lodging | In-kind items and services | $145.14 | General |
| Category: Ortho-Hip | ||||||
| 11/30/2023 | Medical Device Business Services, Inc. | — | Consulting Fee | Cash or cash equivalent | $465.00 | General |
| 05/20/2023 | Smith+Nephew, Inc. | REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II | Food and Beverage | In-kind items and services | $104.92 | General |
| Category: Recon Robotics | ||||||
| 05/19/2023 | Smith+Nephew, Inc. | REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II | Food and Beverage | In-kind items and services | $123.25 | General |
| Category: Recon Robotics | ||||||
| 05/18/2023 | Smith+Nephew, Inc. | — | Travel and Lodging | In-kind items and services | $710.88 | General |
| 05/18/2023 | Smith+Nephew, Inc. | REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II | Travel and Lodging | In-kind items and services | $702.72 | General |
| Category: Recon Robotics | ||||||
| 05/18/2023 | Smith+Nephew, Inc. | REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II | Travel and Lodging | In-kind items and services | $274.36 | General |
| Category: Recon Robotics | ||||||
| 05/18/2023 | Smith+Nephew, Inc. | REAL INTELLIGENCE (Device), JOURNEY II, JOURNEY II | Food and Beverage | In-kind items and services | $104.84 | General |
| Category: Recon Robotics | ||||||
| 11/04/2022 | Smith+Nephew, Inc. | REAL INTELLIGENCE (Device), JOURNEY II | Food and Beverage | In-kind items and services | $149.63 | General |
| Category: Recon Robotics | ||||||
| 11/03/2022 | Smith+Nephew, Inc. | REAL INTELLIGENCE (Device), JOURNEY II | Food and Beverage | In-kind items and services | $126.27 | General |
| Category: Recon Robotics | ||||||
| 10/28/2022 | Stryker Corporation | MAKO (Device) | Food and Beverage | In-kind items and services | $166.51 | General |
| Category: KNEES, HIPS | ||||||
| 10/28/2022 | Stryker Corporation | MAKO (Device) | Food and Beverage | In-kind items and services | $11.89 | General |
| Category: KNEES, HIPS | ||||||
| 10/10/2022 | Stryker Corporation | MAKO (Device) | Travel and Lodging | Cash or cash equivalent | $324.90 | General |
| Category: KNEES, HIPS | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 9 | 649 | 736 | $808,565 | $140,768 |
| 2022 | 8 | 603 | 675 | $624,605 | $118,233 |
| 2021 | 6 | 619 | 730 | $667,143 | $137,339 |
| 2020 | 6 | 408 | 468 | $507,722 | $107,475 |
Total Patients
2,279
Total Services
2,609
Medicare Billing
$503,815
Procedure Codes
29
All Medicare Procedures & Services
29 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 27130 | Replacement of thigh bone and hip joint with prosthesis | Facility | 2023 | 57 | 59 | $374,822 | $55,538 | 14.8% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2023 | 52 | 53 | $346,820 | $51,752 | 14.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 261 | 331 | $24,251 | $14,698 | 60.6% |
| 0055T | Musculoskeletal surgical navigational orthopedic operation using imaging guidance | Facility | 2023 | 53 | 54 | $41,914 | $6,313 | 15.1% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 78 | 81 | $9,257 | $5,668 | 61.2% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 66 | 66 | $6,249 | $3,689 | 59.0% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2023 | 46 | 56 | $3,556 | $2,166 | 60.9% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2023 | 20 | 20 | $1,057 | $565.80 | 53.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 16 | 16 | $639.00 | $380.10 | 59.5% |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | Facility | 2022 | 55 | 55 | $335,656 | $53,655 | 16.0% |
| 27447 | Replacement of knee joint, both sides of knee | Facility | 2022 | 38 | 38 | $242,816 | $38,182 | 15.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 289 | 350 | $26,887 | $15,959 | 59.4% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 71 | 72 | $7,861 | $4,311 | 54.8% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 58 | 58 | $5,566 | $3,039 | 54.6% |
| 20610 | Aspiration and/or injection of fluid from large joint | Office | 2022 | 49 | 59 | $3,736 | $1,916 | 51.3% |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | Office | 2022 | 24 | 24 | $1,315 | $749.12 | 57.0% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 19 | 19 | $768.12 | $421.78 | 54.9% |
| 27130 | Replacement of thigh bone and hip joint prosthesis | Facility | 2021 | 59 | 60 | $341,736 | $60,268 | 17.6% |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | Facility | 2021 | 45 | 46 | $280,093 | $47,600 | 17.0% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 310 | 406 | $27,180 | $17,410 | 64.1% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 85 | 86 | $8,371 | $5,725 | 68.4% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 62 | 62 | $5,454 | $3,786 | 69.4% |
| 20610 | Aspiration and/or injection of large joint or joint capsule | Office | 2021 | 58 | 70 | $4,309 | $2,549 | 59.1% |
| 27130 | Replacement of thigh bone and hip joint prosthesis | Facility | 2020 | 59 | 60 | $327,160 | $64,030 | 19.6% |
| 27447 | Repair of knee joint | Facility | 2020 | 27 | 27 | $156,943 | $29,712 | 18.9% |
About Dr. Nathaniel Nelms, M.D
Dr. Nathaniel Nelms, M.D is a Orthopaedic Surgery healthcare provider based in South Burlington, Vermont. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 01/09/2007. The National Provider Identifier (NPI) number assigned to this provider is 1881743664.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Nathaniel Nelms, M.D has received a total of $20,722 in payments from pharmaceutical and medical device companies, with $11,967 received in 2024. These payments were reported across 53 transactions from 7 companies. The most common payment nature is "Consulting Fee" ($11,160).
As a Medicare-enrolled provider, Nelms has provided services to 2,279 Medicare beneficiaries, totaling 2,609 services with total Medicare billing of $503,815. Data is available for 4 years (2020–2023), covering 29 distinct procedure/service records.
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Practice Information
- Specialty Orthopaedic Surgery
- Other Specialties Orthopaedic Surgery, Orthopaedic Surgery
- Location South Burlington, VT
- Active Since 01/09/2007
- Last Updated 05/28/2015
- Taxonomy Code 207X00000X
- Entity Type Individual
- NPI Number 1881743664
Products in Payments
- MAKO (Device) $1,650
- REAL INTELLIGENCE (Device) $1,586
- Velys (Device) $1,236
- REDAPT Revision Hip System (Device) $1,216
- TRIGEN Femoral (FAN/TAN/Meta Nail) (Device) $1,148
- AQUAMANTYS (Device) $664.09
- Trident (Device) $399.17
- All (Device) $369.00
- ACCOLADE (Device) $138.52
- Legion Revision (Device) $136.98
- MPO Medial Pivot Knee (Device) $123.08
- INSIGNIA (Device) $80.92
- EVOS (Device) $68.20
- Kincise (Device) $35.73
Explore
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.
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