Covered recipient · General Payments record
DAVID B NELLES
Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine
General Payments · PY2018–2024
$45,349.47
- Reported across 218 records
- CMS publication 2026-01-23
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How these totals are calculated
- The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
- General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
- Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
- Methodology & Data — sourcing, labeling, and limitations.
By nature of payment
PY2024 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $784.33 | 16 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| SPINEART USA INC | $703.47 | 14 |
| Orthofix Medical, Inc. | $59.44 | 1 |
| VERTEX PHARMACEUTICALS INCORPORATED | $21.42 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (16)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Orthofix Medical, Inc. | $59.44 | 01/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1127584438 | CMS |
| SPINEART USA INC | $22.62 | 01/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053002 | CMS |
| SPINEART USA INC | $53.14 | 01/28/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053052 | CMS |
| SPINEART USA INC | $54.13 | 03/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053856 | CMS |
| SPINEART USA INC | $72.80 | 03/23/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053886 | CMS |
| SPINEART USA INC | $104.33 | 05/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053088 | CMS |
| SPINEART USA INC | $70.80 | 06/12/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140052740 | CMS |
| SPINEART USA INC | $17.84 | 06/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140052996 | CMS |
| SPINEART USA INC | $50.75 | 07/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053254 | CMS |
| SPINEART USA INC | $34.47 | 08/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140052792 | CMS |
| SPINEART USA INC | $40.00 | 08/16/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053026 | CMS |
| SPINEART USA INC | $41.35 | 08/26/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140052798 | CMS |
| SPINEART USA INC | $44.18 | 09/30/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053034 | CMS |
| SPINEART USA INC | $53.09 | 11/04/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053056 | CMS |
| SPINEART USA INC | $43.97 | 12/03/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1140053032 | CMS |
| VERTEX PHARMACEUTICALS INCORPORATED | $21.42 | 09/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1105916570 | CMS |
Source & provenance
- Dataset
- CMS Open Payments — General Payments
- Publisher of source data
- Centers for Medicare & Medicaid Services
- CMS publication date
- 2026-01-23
- Program years on this page
- 2018, 2019, 2020, 2021, 2022, 2023, 2024
- Source files
- Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
- Generated from
- OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv
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