Physician profile
Nicholas Anthony Alfonso
NPI 1467895219
$57,902.76
in general payments reported to CMS, 2019-2025
13 companies · $34K in 2025
The $34K reported for 2025 was more than what 89% of Orthopaedic Trauma providers received nationally (typical 2025 total: $1,227).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $265 · 2020: $331 · 2021: $804 · 2022: $484 · 2023: $2,478 · 2024: $20K · 2025: $34K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $23K · Consulting Fee: $13K · Food and Beverage: $11K · Travel and Lodging: $6,492 · Education: $2,448.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $23,100.00 |
| Consulting Fee | $13,420.00 |
| Food and Beverage | $10,558.52 |
| Travel and Lodging | $6,491.76 |
| Education | $2,447.66 |
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 |
|---|---|---|---|
| Smith+Nephew, INC. | $28,944.69 | 2019-2025 | Evos, Trigen Intertan, Trigen |
| Medical Device Business Services, INC. | $14,031.82 | 2024-2025 | Na, Stratafix |
| Stryker Corporation | $13,103.35 | 2019-2025 | Pro, Gamma, Pangea |
| Depuy Synthes Sales INC. | $629.92 | 2024-2025 | Na, Va-Lcp, Motoband Cp |
| Integra Lifesciences Corporation | $380.34 | 2023-2024 | Integra, Primatrix, Integra Dermal Regeneration Template |
| Carbofix Orthopedics INC | $251.25 | 2024 | |
| Joint Restoration Foundation, INC. | $170.14 | 2025 | |
| Innovation Technologies INC | $120.39 | 2024 | Irrisept |
| Bioventus LLC | $110.96 | 2025 | Exogen Ultrasound Bone Healing System |
| Ethicon US, LLC | $83.59 | 2024 | Monocryl |
| Skeletal Dynamics INC | $28.30 | 2025 | Geminus, Ijs, Align |
| Medtronic, INC. | $25.04 | 2024 | Cd Horizon Spinal System |
| Solventum Corporation | $22.97 | 2025 | Prevena |
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 Alfonso 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.