Device Trauma

Itst Inst/Nails/Plates/Screws

Payments companies reported to CMS as associated with Itst Inst/Nails/Plates/Screws. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$157associated payments (2023-2025)

3clinicians with associated payments

1company reporting

By year

2023 $22.61

2024 $96.78

2025 $37.39

Payments reported as associated with Itst Inst/Nails/Plates/Screws, per program year, as reported to CMS.

Who makes it

Zimmer Biomet Holdings, INC. $157 associated with Itst Inst/Nails/Plates/Screws (2023-2025)

Specialties most often involved

Foot & Ankle Surgery $96.78

Orthopaedic Trauma $37.39

Orthopaedic Surgery $22.61

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with Itst Inst/Nails/Plates/Screws

These are the largest totals companies reported as associated with Itst Inst/Nails/Plates/Screws. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

Clinician	Location	Specialty	Associated payments (2023-2025)
Ronald Ray	Great Falls, MT	Foot & Ankle Surgery	$96.78
Myron Slobogean	Baltimore, MD	Orthopaedic Trauma	$37.39
Kevin Purcell	Jackson, MS	Orthopaedic Surgery	$22.61

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What this means, and what it doesn't

These payments are legal and common. Drug and device makers routinely pay for meals at educational events, consulting, speaking, travel, and research. Companies are required by federal law to report them; that's why this data exists.
A payment is not evidence of wrongdoing. Most clinicians who accept industry payments provide excellent care. Research payments in particular often reflect participation in clinical trials.
Context beats raw numbers. A few hundred dollars in sandwiches over several years is typical. What's worth understanding is scale, source, and purpose, which is what this page shows.
The data comes from companies, not doctors. Figures are "as reported to CMS" by the paying companies. Clinicians can dispute records through CMS's official process.

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.