ADAM J CIEN
Allopathic & Osteopathic Physicians|Orthopaedic Surgery SOUTH BEND, IN NPI 1104183607
Browse related groups: Allopathic & Osteopathic Physicians|Orthopaedic Surgery IN Stryker Corporation All categories
General Payments — all program years on this page
$98,571.42
- Category: General Payments
- Program years: PY2018–2024
- Record count: 532
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $20,188.10 across 86 records · disputed records: 0
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How this figure is 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
Latest program year (PY2024) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Consulting Fee | $16,075.00 | 4 |
| Food and Beverage | $2,745.19 | 77 |
| Travel and Lodging | $1,367.91 | 5 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Stryker Corporation | $19,526.13 | 80 |
| Next Science LLC | $488.67 | 1 |
| Zimmer Biomet Holdings, Inc. | $108.09 | 1 |
| MEDACTA USA, INC. | $20.07 | 1 |
| Smith & Nephew, Inc. | $17.27 | 1 |
| Merck Sharp & Dohme Corporation | $14.18 | 1 |
| Orthofix Medical, Inc. | $13.69 | 1 |
By program year
Records — PY2024 (86)
Provenance & corrections
- Dataset: CMS Open Payments — General Payments
- Source: CMS Open Payments dataset (bulk file)
- Publisher of source data: Centers for Medicare & Medicaid Services
- 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.