SIGN Fracture Care International
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Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
Centers for Medicare & Medicaid Services, Open Payments
These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.
Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.
CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state.
Payment records · PY2025
Date, newest first, then reporting company; values as published by CMS.
General Payments · PY2025 · All recipient types · CMS publication 2026-06-30
12 matching records · $3,600.00 reported total · 0 disputed
Nature of payment: All payment types
Records imported here (UTC).
CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.
Showing records 1–12 of 12.
| Recipient | Paying entity | Amount | Date | Nature of payment | Dispute status | Publication flags | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|---|---|
| RAVEESH RICHARD Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/11/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222320200 | CMS |
| DOUGLAS LUNDY Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/10/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222319436 | CMS |
| JENNIFER TANGTIPHAIBOONTANA Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/09/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222321570 | CMS |
| PATRICK YOON Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/09/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222322617 | CMS |
| DAVID W SHEARER Physician / non-physician practitioner | SIGN Fracture Care International | $600.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222333779 | CMS |
| JOHN A TANKSLEY Physician / non-physician practitioner | SIGN Fracture Care International | $600.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222333807 | CMS |
| JAMES J COYLE Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222337254 | CMS |
| HAO-HUA WU Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222347142 | CMS |
| SANDRA HOBSON Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222352886 | CMS |
| ASHRAF NAGI EL NAGA Physician / non-physician practitioner | SIGN Fracture Care International | $150.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222370948 | CMS |
| MICHAEL FRANKLIN COSCIA Physician / non-physician practitioner | SIGN Fracture Care International | $600.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1222387074 | CMS |
| STEVEN BAXTER ORR Physician / non-physician practitioner | SIGN Fracture Care International | $600.00 | 09/08/2025 | Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | No dispute reported | Delay: No Change: NEW | 06/30/2026 | 1243865915 | CMS |
Practitioner overview · all loaded program years
29 providers listed 40 records General Payments
General Payments to practitioners — all loaded program years
- Category: General Payments
- Program years: 2019, 2022, 2023, 2024, 2025
- Record count: 40
- Providers listed: 29
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
Figures reflect General Payments this manufacturer or GPO reported to CMS. Research and Ownership/Investment payments are separate datasets and are not included here.
Coverage: program years 2019–2025, General Payments only, reported to physicians and non-physician practitioners. Payments to teaching hospitals are not included in these practitioner figures. Each figure is labeled with its category and program year; categories are never combined.
Practitioner payments by program year
| Program year | Reported | Records | Providers | Detail |
|---|---|---|---|---|
| PY2019 | $3,311.66 | 5 | 3 | This company in PY2019 → |
| PY2022 | $1,100.00 | 2 | 2 | This company in PY2022 → |
| PY2023 | $3,300.00 | 6 | 6 | This company in PY2023 → |
| PY2024 | $6,750.00 | 15 | 15 | This company in PY2024 → |
| PY2025 | $3,600.00 | 12 | 12 | This company in PY2025 → |
By recipient specialty (6)
Sorted by name; identical names by identifier.
Allopathic & Osteopathic Physicians 6 specialties 28 providers
Providers listed (29)
Sorted by name; identical names by identifier.
| Provider | Specialty | State | Records reported by this company |
|---|---|---|---|
| ANTHONY N BROWN | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | ND | 2 |
| ASHRAF NAGI EL NAGA | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | WA | 2 |
| CARLA SUE SMITH | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | WA | 1 |
| DAVID W SHEARER | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma | CA | 2 |
| DOUGLAS LUNDY | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | PA | 1 |
| DUANE ANDERSON | — | ID | 1 |
| HAO-HUA WU | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | CA | 2 |
| JAMES J COYLE | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | MO | 1 |
| JENNIFER TANGTIPHAIBOONTANA | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | MN | 1 |
| JOHN A DURKAN | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | OR | 1 |
| JOHN A TANKSLEY | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | KS | 2 |
| JOHN J WIXTED | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | MA | 1 |
| JOHN W STAEHELI | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | WA | 1 |
| KATHERINE HOWE | Allopathic & Osteopathic Physicians|Surgery | VA | 1 |
| KIRAN J AGARWAL HARDING | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | MA | 1 |
| MARC A AIKEN | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | TN | 1 |
| MICHAEL FRANKLIN COSCIA | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Surgery of the Spine | IN | 1 |
| PATRICK YOON | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | MN | 2 |
| RAVEESH RICHARD | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | TX | 1 |
| RICHARD E GELLMAN | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma | CA | 5 |
| ROBERT P DUNBAR | Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Orthopaedic Trauma | WA | 1 |
| SANDRA HOBSON | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | MN | 1 |
| SANJIV KAUL | Allopathic & Osteopathic Physicians|Internal Medicine|Cardiovascular Disease | OR | 1 |
| SHAWN W O'DRISCOLL | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | MN | 1 |
| STEPHEN W WEGNER | Allopathic & Osteopathic Physicians|Emergency Medicine | MT | 1 |
| STEVEN A OLSON | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | NC | 2 |
| STEVEN BAXTER ORR | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | NY | 1 |
| TIMOTHY PATRICK MCHENRY | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | SC | 1 |
| WILLIAM CODY SESSIONS | Allopathic & Osteopathic Physicians|Orthopaedic Surgery | MN | 1 |