Medicare Enrolled
Dr. Ryan Nelson, DO
Surgery · Utica, MI
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Speaking/Promotional
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Nelson from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Nelson
Dr. Ryan Nelson is a surgery specialist in Utica, MI, with 17 years of NPI registration. Based on federal Medicare data, Dr. Nelson performed 11,842 Medicare services across 3,117 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nelson received a total of $267,285 from 59 pharmaceutical and/or device companies across 556 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Nelson is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years in practice
▲ Top 0% volume in MI
$267,285 industry payments
Medicare Practice Summary
Medicare Utilization ↗11,842
Medicare services
Top 0% in MI for surgery
3,117
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~697 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 3,480 | $18 | $25 |
| Injection, degarelix, 1 mg | 3,360 | $3 | $4 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
884 | $95 | $144 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
882 | $2 | $6 |
| PSA test (prostate cancer screening) | 348 | $18 | $35 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
250 | $64 | $100 |
| Bladder ultrasound after voiding An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder. |
239 | $8 | $30 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
238 | $48 | $70 |
| Leuprolide acetate (for depot suspension), 7.5 mg | 225 | $135 | $700 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
173 | $103 | $165 |
| Free PSA test A blood test that measures the amount of unbound prostate-specific antigen in the blood. |
159 | $18 | $38 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
141 | $34 | $142 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
133 | $8 | $105 |
| Cystourethroscopy A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract. |
131 | $185 | $406 |
| Complex urodynamic pressure flow study A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning. |
130 | $280 | $575 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
99 | $5 | $15 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
90 | $8 | $40 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
86 | $7 | $20 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
84 | $25 | $45 |
| Liver function blood test panel | 83 | $8 | $75 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
81 | $11 | $28 |
| Transrectal ultrasound of the pelvis An ultrasound imaging procedure where a probe is inserted into the rectum to visualize pelvic structures. |
55 | $107 | $300 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
41 | $127 | $225 |
| Limited retroperitoneal ultrasound A focused ultrasound exam of the area behind the abdominal cavity to evaluate specific structures. |
38 | $22 | $116 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
30 | $29 | $45 |
| Blood chloride level test A laboratory test that measures the amount of chloride in a blood sample. Chloride is an electrolyte that helps maintain fluid balance and acid-base levels in the body. |
30 | $5 | $15 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
30 | $5 | $17 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
30 | $40 | $65 |
| Total calcium level test A blood test that measures the total amount of calcium in your body. |
29 | $5 | $24 |
| Carbon dioxide level test A blood test that measures the amount of carbon dioxide in your blood, which helps evaluate your body's acid-base balance and kidney function. |
29 | $5 | $15 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
29 | $4 | $15 |
| Imaging of urinary tract with contrast An imaging test of the urinary tract performed after a contrast agent is injected to enhance visibility of the structures. |
28 | $19 | $225 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
28 | $27 | $75 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
28 | $69 | $104 |
| Ureteral stent insertion via endoscope A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder. |
27 | $108 | $1,033 |
| Injection, garamycin, gentamicin, up to 80 mg | 20 | $2 | $10 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
19 | $73 | $100 |
| Simple insertion of temporary bladder tube A procedure to place a temporary tube into the bladder. This allows for the drainage of urine from the bladder. |
16 | $47 | $150 |
| Transurethral prostate removal with electrocautery This procedure involves removing the prostate gland through the urethra using an endoscope and an electrocautery knife to control bleeding. |
15 | $578 | $1,500 |
| Prostate gland biopsy A procedure to remove small samples of tissue from the prostate gland for laboratory examination. |
12 | $181 | $500 |
| Ultrasound guidance for needle placement Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure. |
12 | $47 | $325 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
63.3% medium
36.5% routine
Industry Payment Transparency
Open Payments through 2024 ↗$267,285
Total received (2018-2024)
Avg $38,184/year across 7 years
Top 1% in MI for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
59
Companies
556
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$250,665 (93.8%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$13,712 (5.1%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$2,908 (1.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$102,769
2023
$90,754
2022
$49,348
2021
$10,484
2020
$5,933
2019
$6,236
2018
$1,761
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
INTUITIVE SURGICAL, INC.
$101,525
Merck Sharp & Dohme LLC
$161
Laborie Medical Technologies Corp.
$90
Tempus AI, Inc
$81
Ferring Pharmaceuticals Inc.
$76
Sumitomo Pharma America, Inc.
$63
Myriad Genetic Laboratories, Inc.
$57
Astellas Pharma US Inc
$57
PFIZER INC.
$55
Tolmar, Inc.
$50
UROGEN PHARMA, INC.
$47
ABBVIE INC.
$47
Medtronic, Inc.
$46
Dendreon Pharmaceuticals LLC
$46
SUN PHARMACEUTICAL INDUSTRIES INC.
$44
Bayer Healthcare Pharmaceuticals Inc.
$43
AngioDynamics, Inc.
$42
AstraZeneca Pharmaceuticals LP
$33
Janssen Biotech, Inc.
$32
Novartis Pharmaceuticals Corporation
$24
Photocure Inc
$22
Janssen Scientific Affairs, LLC
$21
Endo USA, Inc.
$20
Calyxo, Inc.
$19
Endo Pharmaceuticals Inc.
$19
180 Medical, Inc.
$18
COLOPLAST CORP
$18
IMMUNITYBIO, INC.
$15
Top 3 companies account for 99.0% of 2024 payments
All-time payments by company (2018-2024) ›
Intuitive Surgical, Inc.
$150,498
INTUITIVE SURGICAL, INC.
$101,525
Janssen Biotech, Inc.
$3,253
NeoTract Inc.
$2,757
Smith+Nephew, Inc.
$1,600
Teleflex LLC
$1,150
Astellas Pharma US Inc
$801
Cook Incorporated
$529
PFIZER INC.
$447
Dendreon Pharmaceuticals LLC
$404
Coloplast Corp
$377
Merck Sharp & Dohme LLC
$355
Ferring Pharmaceuticals Inc.
$354
Myriad Genetic Laboratories, Inc.
$290
Bayer HealthCare Pharmaceuticals Inc.
$233
Antares Pharma, Inc.
$221
Janssen Scientific Affairs, LLC
$196
Blue Earth Diagnostics Limited
$147
Zimmer Biomet Holdings, Inc.
$122
PROCEPT BioRobotics Corporation
$107
Amgen Inc.
$107
Laborie Medical Technologies Corp.
$105
GENZYME CORPORATION
$102
Endo Pharmaceuticals Inc.
$102
Janssen Products, LP
$100
Olympus America Inc.
$98
Bayer Healthcare Pharmaceuticals Inc.
$82
Tempus AI, Inc
$81
TOLMAR Pharmaceuticals, Inc.
$79
Sumitomo Pharma America, Inc.
$79
Lumenis, Inc
$78
Tolmar, Inc.
$71
Olympus Corporation of the Americas
$65
AstraZeneca Pharmaceuticals LP
$63
ABBVIE INC.
$62
Medtronic, Inc.
$62
UROGEN PHARMA, INC.
$47
SUN PHARMACEUTICAL INDUSTRIES INC.
$44
Allergan Inc.
$43
AngioDynamics, Inc.
$42
Photocure Inc
$37
Avadel Specialty Pharmaceuticals, LLC
$36
180 Medical, Inc.
$32
Progenics Pharmaceuticals, Inc.
$26
Janssen Pharmaceuticals, Inc
$26
BK Medical Holding Company Inc.
$24
Novartis Pharmaceuticals Corporation
$24
Palette Life Sciences, Inc.
$21
UroGen Pharma, Inc.
$21
Endo USA, Inc.
$20
E.R. Squibb & Sons, L.L.C.
$20
AKRIMAX PHARMACEUTICALS, LLC
$19
Calyxo, Inc.
$19
COLOPLAST CORP
$18
Myovant Sciences Inc.
$16
IMMUNITYBIO, INC.
$15
Medtronic USA, Inc.
$12
RGH Enterprises, Inc.
$11
Osiris Therapeutics Inc.
$11
Top 3 companies account for 95.5% of all-time payments
Associated products mentioned in payments ›
ADSTILADRIN · ALTIS · ANKTIVA · AQUABEAM ROBOTIC SYSTEM · Axumin · BOTOX · BOTOX THERAPEUTIC · COOK MEDICAL UROLOGY · CVAC ASPIRATION SYSTEM · CYSVIEW · DA VINCI SP · Da Vinci Surgical System · ELIGARD · ERLEADA · Erleada · FIRMAGON · GEMTESA · GRAFIX/GRAFIXPL/STRAVIX · Gel One · INTERSTIM · JATENZO · JELMYTO · JEVTANA · KEYTRUDA · LUPRON DEPOT · LYNPARZA · Lumenis Pulse 120H · MYRBETRIQ · Myrbetriq · NANOKNIFE · NOCDURNA · Noctiva · Nubeqa · OPDIVO · ORGOVYX · OTREXUP · Olympus Laser Devices · Olympus Ultrasonic Devices · Optilume BPH Drug Coated Balloon Catheter · PLUVICTO · PROLARIS · PROVENGE · PYLARIFY · Prolaris · Prolia · Q-FIX Hip · RESTORELLE · SUTENT · SpeediCath · Stendra · TITAN · UROLIFT · UroLift · UroLift System · UroPass · VESICARE · XGEVA · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · YONSA · ZYTIGA · bk3000 · bk3500 & bk5000 Ultrasound System · iTIND System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
The majority of payments (94%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in surgery and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for surgery in MI.
Geographic Context
Surgerists within 10 mi
520
Per 100K population
59.3
County median income
$76,399
Nearest hospital
ASCENSION PROVIDENCE ROCHESTER HOSPITAL
3.8 mi
3.8 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Nelson is a mixed practice specialist, with above-average Medicare volume (top 0% in MI), with speaking/promotional industry engagement in the top 1% of MI peers, with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Nelson experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Nelson performed 3,480 denosumab injection (prolia/xgeva) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Nelson receive payments from pharmaceutical companies?
Yes. Dr. Nelson received a total of $267,285 from 59 companies across 556 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Nelson's costs compare to other surgerists in Utica?
Dr. Nelson's average Medicare payment per service is $30. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Nelson) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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