Lionel Nicholas Metz I, M.D.
NPI 1518283878ActiveIndividual· Orthopaedic Surgery· Saint Louis, MO
Orthopaedic Surgery (M.D.) in Saint Louis, Missouri, trained at University of California, San Francisco School of Medicine (class of 2008). 92 Medicare patients in 2024, $137,412 paid; nearly all of their 76 Part D prescriptions were generic (99%). Alphatec Spine, Inc was the largest of 11 companies reporting payments in 2025, $99,723 in all, mostly royalties and licenses.
Overview
| NPI | 1518283878 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 12, 2010 |
| Last updated in NPPES | Jun 18, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 2014004999 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 370 across 35 procedure codes |
| Paid by Medicare | $137,412 |
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 86 30-day fills |
|---|---|
| Patients | 33 |
| Total drug cost | $1,785 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of California, San Francisco School of Medicine |
|---|---|
| Graduation year | 2008 |
| Medicare specialty | Orthopedic Surgery |
| Telehealth | Offers telehealth |
Medical group
- UCSF Medical Group Business ServicesSan Francisco, CA · 1,598 clinicians
Hospital affiliation
- UCSF Medical CenterSan Francisco, CA
Other facilities
- Healthflex Home Health ServicesHome health agency · Oakland, CA
Industry payments (Open Payments)
- 2025$99,723 · 49 payments from 11 companies
- 2024$128,619 · 64 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alphatec Spine, Inc | $75,950 | 4 |
| Medacta USA, Inc. | $15,119 | 14 |
| Evolution Spine, LLC | $2,561 | 4 |
| Spineart USA Inc | $2,496 | 3 |
| Providence Medical Technology, Inc. | $2,423 | 11 |
What the 2025 payments were for
- Royalty or License$77,561 · 5 payments
- Consulting Fee$12,700 · 2 payments
- Travel and Lodging$5,238 · 11 payments
- Food and Beverage$4,224 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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