Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

ROBERT BRYAN RIPCHINSKI

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

NPI
1003970278
CMS profile
11214490
Location
DES MOINES, IA

General Payments · PY2021–2024

$2,122.99

  • Reported across 75 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$608.52

21 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $608.52 21

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
DePuy Synthes Sales Inc. $259.51 6
Stryker Corporation $157.03 11
Zimmer Biomet Holdings, Inc. $134.19 1
Prism Medical $27.08 1
Heron Therapeutics, Inc. $15.40 1
PolyNovo North America LLC $15.31 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2021 $671.00 18
PY2022 $311.68 14
PY2023 $531.79 22
PY2024 $608.52 21

Payment records · PY2024 (21)

Sorted by paying entity, then date · as published by CMS

Program year 2024 202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
DePuy Synthes Sales Inc. $50.66 03/28/2024 Food and Beverage Undisputed 01/23/2026 1077833816 CMS
DePuy Synthes Sales Inc. $3.89 05/14/2024 Food and Beverage Undisputed 01/23/2026 1077833760 CMS
DePuy Synthes Sales Inc. $3.50 05/21/2024 Food and Beverage Undisputed 01/23/2026 1077833939 CMS
DePuy Synthes Sales Inc. $3.50 05/23/2024 Food and Beverage Undisputed 01/23/2026 1077833741 CMS
DePuy Synthes Sales Inc. $144.54 10/23/2024 Food and Beverage Undisputed 01/23/2026 1077833782 CMS
DePuy Synthes Sales Inc. $53.42 10/25/2024 Food and Beverage Undisputed 01/23/2026 1077833921 CMS
Heron Therapeutics, Inc. $15.40 10/16/2024 Food and Beverage Undisputed 01/23/2026 1147253317 CMS
PolyNovo North America LLC $15.31 10/02/2024 Food and Beverage Undisputed 01/23/2026 1148188846 CMS
Prism Medical $27.08 09/05/2024 Food and Beverage Undisputed 01/23/2026 1126608987 CMS
Stryker Corporation $11.88 01/31/2024 Food and Beverage Undisputed 01/23/2026 1120042535 CMS
Stryker Corporation $14.43 02/07/2024 Food and Beverage Undisputed 01/23/2026 1120042537 CMS
Stryker Corporation $14.43 02/28/2024 Food and Beverage Undisputed 01/23/2026 1120042539 CMS
Stryker Corporation $18.06 05/01/2024 Food and Beverage Undisputed 01/23/2026 1120042541 CMS
Stryker Corporation $12.04 05/22/2024 Food and Beverage Undisputed 01/23/2026 1120042543 CMS
Stryker Corporation $5.57 05/24/2024 Food and Beverage Undisputed 01/23/2026 1120042545 CMS
Stryker Corporation $16.11 06/05/2024 Food and Beverage Undisputed 01/23/2026 1120042547 CMS
Stryker Corporation $9.47 07/24/2024 Food and Beverage Undisputed 01/23/2026 1120042549 CMS
Stryker Corporation $10.43 07/29/2024 Food and Beverage Undisputed 01/23/2026 1120042551 CMS
Stryker Corporation $28.77 08/21/2024 Food and Beverage Undisputed 01/23/2026 1120042553 CMS
Stryker Corporation $15.84 10/16/2024 Food and Beverage Undisputed 01/23/2026 1120042555 CMS
Zimmer Biomet Holdings, Inc. $134.19 10/24/2024 Food and Beverage Undisputed 01/23/2026 1155023019 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.