Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Robert Otto

Orthopaedic Surgery Nashville, TN Medical Doctor

NPI 1003013947 CMS profile 181533

2400 Patterson St Ste 100, Nashville, TN 37203

Open in the dashboard

General payments

$76,612

152 records reported · program years 2019–2025

Research payments

$28,390

Paid to them · 1 record reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$47,702 paid to institutions, not to them · program year 2023

Through program year 2025, Robert Otto of Nashville, TN is reported in the CMS Open Payments database as having received $76,612 across 152 general payments and $28,390 in research payments paid to them. Separately, studies naming them as principal investigator received $47,702 in research payments, paid to institutions rather than to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 92nd percentile of Orthopaedic Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

8 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $438 10
2024 General $1,273 19
2023 General $4,903 20
2022 General $3,657 13
2022 Research $28,390 1
2021 General $21,393 29
2020 General $12,477 20
2019 General $32,471 41

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Robert Otto
  • Orthopaedic Surgery median
  • Middle half of Orthopaedic Surgery
  • National median

In program year 2025, general payments to Robert Otto were reported at $438. Among 15,343 Orthopaedic Surgery profiles paid that year, the median was $563 and the middle half received between $147 and $2,717.

Show as a table
Year Robert Otto Orthopaedic Surgery median Middle half National median
2019 $32,471 $644 $140–$2,844 $163
2020 $12,477 $312 $75–$1,860 $114
2021 $21,393 $520 $117–$2,495 $132
2022 $3,657 $598 $128–$2,731 $149
2023 $4,903 $461 $128–$2,264 $160
2024 $1,273 $497 $134–$2,475 $164
2025 $438 $563 $147–$2,717 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Exactech, Inc. $64,454 67 payments
  2. Medical Device Business Services, Inc. $8,756 10 payments
  3. DePuy Synthes Sales Inc. $903 11 payments
  4. Stryker Corporation $588 4 payments
  5. Ferring Pharmaceuticals Inc. $481 32 payments
  6. Smith+Nephew, Inc. $262 3 payments
  7. Encore Medical, LP $250 3 payments
  8. Biocomposites Inc $181 2 payments
  9. Sanara MedTech Inc. $159 2 payments
  10. Medacta USA, Inc. $150 1 payment
  11. Other $427 17 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Consulting Fee $55,299 21 payments
  2. Food and Beverage $14,367 109 payments
  3. Travel and Lodging $6,946 22 payments
Products named General payments · program years 2019–2025
  1. NOVATION HIP $39,981 39 payments
  2. ALTEON $22,221 20 payments
  3. ATTUNE Ortho-Knee $6,205 10 payments
  4. Velys $5,881 5 payments
  5. Kincise $5,881 5 payments
  6. ATTUNE Ortho-Knee $2,700 1 payment
  7. VELYS Hip Navigation $2,700 1 payment
  8. Kincise Surgical Automated System $2,700 1 payment
  9. EQUINOXE $1,568 3 payments
  10. EUFLEXXA $481 32 payments
  11. Other $3,531 47 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Research payments came from Research payments · program years 2019–2025
  1. Exactech, Inc. $28,390 1 payment

Prescribing to Medicare patients

Part D · data year 2024 · 18 drugs

Part D claims

825

Median for Orthopedic Surgery: 203

Drug cost

$12,885

Median for Orthopedic Surgery: $1,433

Branded share of claims

6.1%

Median for Orthopedic Surgery: 11.6%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Xarelto Rivaroxaban Brand 15 $9,250
Oxycodone Hcl Generic 85 $691
Cephalexin Generic 43 $429
Ondansetron Hcl Generic 33 $342
Pantoprazole Sodium Generic 58 $325
Celecoxib Generic 19 $286
Amoxicillin Generic 229 $265
Meloxicam Generic 102 $260
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 14 $171
Diclofenac Sodium Generic 12 $171

The 10 drugs with the highest cost, of 18 counted.

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 18,934 Part D prescribers listed as Orthopedic Surgery; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 35 billing codes

Paid by Medicare

$200,929

Of which drugs: $685

Medicare patients

312

Average age 71

Services billed

3,250

211 women, 101 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Diabetes 34%
Ischemic heart disease 31%
Chronic kidney disease 29%
Depression 28%
Atrial fibrillation 18%
Osteoporosis 15%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, methylprednisolone acetate, 1 mg J1010 Office 38 1,920 $197

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Payments and prescribing

1 product · payments 2024

Two separate records. The payments come from Open Payments and the claims from Medicare. They are set side by side because they name the same product; they do not show that a payment affected a prescription.

Products this doctor was paid in connection with in 2024, beside Medicare claims for the same product
Product Paid by Related payments Part D claims Part B services
CAPLYTA
  • ITI, Inc. $60
$60 — —

A dash means Medicare published no figure for this doctor and product — fewer than 11 claims, or the product is not covered under that part — which is not the same as none. Payments are general payments only; one that names several products is split evenly between them, so an amount is payments related to the product, not money paid for it.

Records

153 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Orthopaedic Surgery in Tennessee

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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