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

STEPHEN R TOLHURST

Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine

NPI
1023234655
CMS profile
46164
Location
FLOWER MOUND, TX

General Payments · PY2018–2024

$1,089,273.23

  • Reported across 287 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$202,852.01

49 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
Royalty or License $168,986.52 11
Consulting Fee $18,675.00 5
Travel and Lodging $13,411.47 16
Food and Beverage $1,779.02 17

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Curiteva, Inc. $71,985.50 1
MEDACTA USA, INC. $51,268.14 5
Innovasis Inc $46,188.47 4
Alphatec Spine, Inc $23,532.14 13
Clariance, Inc. $6,767.27 7
OsteoCentric Technologies, Inc. $1,460.50 9
Clariance SAS $1,000.00 2
DeGen Medical, Inc. $260.96 1
Globus Medical, Inc. $180.62 1
Spinevision SAS $95.00 1
Medtronic, Inc. $69.00 3
Stryker Corporation $44.41 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $191,809.18 42
PY2019 $202,137.73 31
PY2020 $103,087.58 29
PY2021 $54,501.64 30
PY2022 $147,517.95 71
PY2023 $187,367.14 35
PY2024 $202,852.01 49

Payment records · PY2024 (49)

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

Program year 2024 201820192020202120222023 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
Alphatec Spine, Inc $25.00 03/12/2024 Travel and Lodging Undisputed 01/23/2026 1095488204 CMS
Alphatec Spine, Inc $1,588.22 03/12/2024 Travel and Lodging Undisputed 01/23/2026 1095488206 CMS
Alphatec Spine, Inc $768.00 03/14/2024 Travel and Lodging Undisputed 01/23/2026 1095488178 CMS
Alphatec Spine, Inc $116.03 04/02/2024 Food and Beverage Undisputed 01/23/2026 1095488248 CMS
Alphatec Spine, Inc $16,525.00 04/18/2024 Consulting Fee Undisputed 01/23/2026 1095488142 CMS
Alphatec Spine, Inc $643.00 05/09/2024 Travel and Lodging Undisputed 01/23/2026 1095488190 CMS
Alphatec Spine, Inc $102.82 05/23/2024 Food and Beverage Undisputed 01/23/2026 1095488250 CMS
Alphatec Spine, Inc $30.00 08/28/2024 Travel and Lodging Undisputed 01/23/2026 1095488220 CMS
Alphatec Spine, Inc $1,358.94 08/28/2024 Travel and Lodging Undisputed 01/23/2026 1095488222 CMS
Alphatec Spine, Inc $601.00 11/07/2024 Travel and Lodging Undisputed 01/23/2026 1095488196 CMS
Alphatec Spine, Inc $674.54 12/09/2024 Travel and Lodging Undisputed 01/23/2026 1095488328 CMS
Alphatec Spine, Inc $19.32 12/10/2024 Food and Beverage Undisputed 01/23/2026 1095488330 CMS
Alphatec Spine, Inc $1,080.27 12/30/2024 Travel and Lodging Undisputed 01/23/2026 1095488226 CMS
Clariance SAS $500.00 02/05/2024 Consulting Fee Undisputed 01/23/2026 1141156402 CMS
Clariance SAS $500.00 03/04/2024 Consulting Fee Undisputed 01/23/2026 1141156399 CMS
Clariance, Inc. $650.00 07/30/2024 Consulting Fee Undisputed 01/23/2026 1103096623 CMS
Clariance, Inc. $133.92 08/27/2024 Food and Beverage Undisputed 01/23/2026 1099607604 CMS
Clariance, Inc. $5,161.80 09/11/2024 Travel and Lodging Undisputed 01/23/2026 1101903987 CMS
Clariance, Inc. $66.13 10/28/2024 Travel and Lodging Undisputed 01/23/2026 1089389985 CMS
Clariance, Inc. $150.69 10/28/2024 Travel and Lodging Undisputed 01/23/2026 1089390043 CMS
Clariance, Inc. $126.35 11/24/2024 Food and Beverage Undisputed 01/23/2026 1087515785 CMS
Clariance, Inc. $478.38 11/25/2024 Travel and Lodging Undisputed 01/23/2026 1086386053 CMS
Curiteva, Inc. $71,985.50 11/30/2024 Royalty or License Undisputed 01/23/2026 1106571019 CMS
DeGen Medical, Inc. $260.96 01/17/2024 Food and Beverage Undisputed 01/23/2026 1087870526 CMS
Globus Medical, Inc. $180.62 05/21/2024 Food and Beverage Undisputed 01/23/2026 1145011277 CMS
Innovasis Inc $14,101.16 02/15/2024 Royalty or License Undisputed 01/23/2026 1150911340 CMS
Innovasis Inc $10,875.14 05/15/2024 Royalty or License Undisputed 01/23/2026 1150903967 CMS
Innovasis Inc $8,716.76 08/15/2024 Royalty or License Undisputed 01/23/2026 1150927717 CMS
Innovasis Inc $12,495.41 11/15/2024 Royalty or License Undisputed 01/23/2026 1150972569 CMS
MEDACTA USA, INC. $7,872.57 03/07/2024 Royalty or License Undisputed 01/23/2026 1143699529 CMS
MEDACTA USA, INC. $500.00 05/09/2024 Consulting Fee Undisputed 01/23/2026 1143686928 CMS
MEDACTA USA, INC. $20,822.56 06/05/2024 Royalty or License Undisputed 01/23/2026 1143699525 CMS
MEDACTA USA, INC. $10,010.25 08/08/2024 Royalty or License Undisputed 01/23/2026 1143699527 CMS
MEDACTA USA, INC. $12,062.76 11/12/2024 Royalty or License Undisputed 01/23/2026 1143699523 CMS
Medtronic, Inc. $14.48 05/16/2024 Food and Beverage Undisputed 01/23/2026 1117030588 CMS
Medtronic, Inc. $22.52 05/29/2024 Food and Beverage Undisputed 01/23/2026 1117030590 CMS
Medtronic, Inc. $32.00 06/17/2024 Food and Beverage Undisputed 01/23/2026 1117030592 CMS
OsteoCentric Technologies, Inc. $50.00 02/01/2024 Food and Beverage Undisputed 01/23/2026 1113868422 CMS
OsteoCentric Technologies, Inc. $175.00 02/01/2024 Food and Beverage Undisputed 01/23/2026 1113868458 CMS
OsteoCentric Technologies, Inc. $50.00 02/02/2024 Food and Beverage Undisputed 01/23/2026 1113868498 CMS
OsteoCentric Technologies, Inc. $175.00 02/02/2024 Food and Beverage Undisputed 01/23/2026 1113868504 CMS
OsteoCentric Technologies, Inc. $50.00 02/03/2024 Food and Beverage Undisputed 01/23/2026 1113868500 CMS
OsteoCentric Technologies, Inc. $175.00 02/03/2024 Food and Beverage Undisputed 01/23/2026 1113868506 CMS
OsteoCentric Technologies, Inc. $646.20 04/23/2024 Travel and Lodging Undisputed 01/23/2026 1113868508 CMS
OsteoCentric Technologies, Inc. $49.30 04/23/2024 Travel and Lodging Undisputed 01/23/2026 1113868510 CMS
OsteoCentric Technologies, Inc. $90.00 04/23/2024 Travel and Lodging Undisputed 01/23/2026 1113868512 CMS
Spinevision SAS $95.00 11/25/2024 Food and Beverage Undisputed 01/23/2026 1141814889 CMS
Stryker Corporation $29.12 08/08/2024 Royalty or License Undisputed 01/23/2026 1119999075 CMS
Stryker Corporation $15.29 11/14/2024 Royalty or License Undisputed 01/23/2026 1119999077 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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