Physician profile
Nicholas D Fletcher
NPI 1205983178
$363,877.11
in general payments reported to CMS, 2019-2025
11 companies · $261K in 2025
The $261K reported for 2025 was more than what 99% of Pediatric Orthopaedic Surgery providers received nationally (typical 2025 total: $271).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $18K · 2020: $16K · 2021: $26K · 2022: $11K · 2023: $13K · 2024: $19K · 2025: $261K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $245K · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $28K · Consulting Fee: $15K · Travel and Lodging: $2,341 · Food and Beverage: $1,449.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $245,342.00 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $27,971.69 |
| Consulting Fee | $15,210.00 |
| Travel and Lodging | $2,341.18 |
| Food and Beverage | $1,448.62 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Medtronic, INC. | $310,978.04 | 2021-2025 | Cd Horizon Spinal System, Unid_pass, Stealthstation S8 Platform |
| Medtronic USA, INC. | $20,571.06 | 2019-2020 | |
| Orthopediatrics Corp. | $12,157.54 | 2019-2025 | Orthopediatrics Pediflex Flexible Nail System |
| Zimmer Biomet Holdings, INC. | $9,584.77 | 2020-2021 | |
| Nuvasive, INC. | $9,368.31 | 2019-2021 | |
| Biedermann Motech, INC. | $516.68 | 2021-2023 | Moss Vrs Spinal System |
| Medical Device Business Services, INC. | $410.72 | 2021-2025 | Conduit, Expedium |
| Smith+Nephew, INC. | $147.42 | 2019 | |
| Alphatec Spine, INC | $96.72 | 2023 | Other - Miscellaneous, Biologics |
| Teva Pharmaceuticals USA, INC. | $26.06 | 2023 | Austedo |
| Boston Scientific Corporation | $19.79 | 2024 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Nicholas Fletcher listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.