Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

IAN R BYRAM

Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine

NPI
1124175948
CMS profile
323677
Location
FRANKLIN, TN

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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Filter and download payment records

General Payments · PY2022 · Entire year

$49,985.15

52 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

Other CMS categories — not shown on this page

Research Payments

CMS also publishes Research Payments as a separate dataset. This site does not currently mirror it, and no research figure is shown on this page. This provider appears in that dataset.

“If you are a physician who served as a principal investigator on a research study, you may see the payments associated with that research study listed under your name. This does not necessarily mean the payments are attributed to you. The dollar amount of the record corresponds to the total payment; the amounts are not attributed to each individual on the record.”

— Centers for Medicare & Medicaid Services, Open Payments Frequently Asked Questions, FAQ #12224

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

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

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

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.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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. View the official CMS record ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $40,625.00 16
Travel and Lodging $6,386.81 15
Food and Beverage $2,973.34 21

By paying entity

PY2022 · entire year · sorted by reported total

Paying entityAmountRecords
EXACTECH, INC. $49,502.97 46
Catalyst OrthoScience $291.88 2
MEDACTA USA, INC. $122.64 1
Smith+Nephew, Inc. $26.62 1
Stryker Corporation $20.63 1
Alpha Orthopedic Systems $20.41 1

Page 1 of 2; records 1–50 of 52 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

IAN R BYRAM

NPI 1124175948 · CMS profile ID 323677

Allopathic & Osteopathic Physicians / Orthopaedic Surgery / Sports Medicine

FRANKLIN, TN

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 52 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1124175948?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
IAN R BYRAM, NPI 1124175948, CMS profile ID 323677. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 52 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1124175948?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7
IndustryPayments. (2026). IAN R BYRAM, NPI 1124175948, CMS profile ID 323677. General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 52 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1124175948?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook
IAN R BYRAM, NPI 1124175948, CMS profile ID 323677, IndustryPayments, General Payments, PY2022; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 52 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1124175948?year=2022&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2022

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

52 matching records · $49,985.15 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 52 matching records (CSV)

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 1–50 of 52.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
EXACTECH, INC. $500.0011/14/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974171 CMS
EXACTECH, INC. $1,750.0010/24/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974169 CMS
EXACTECH, INC. $4,250.0010/20/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974167 CMS
EXACTECH, INC. $45.9910/20/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974985 CMS
EXACTECH, INC. $371.3010/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976785 CMS
EXACTECH, INC. $16.4810/20/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976863 CMS
EXACTECH, INC. $1,250.0010/07/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974797 CMS
EXACTECH, INC. $1,000.0010/07/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974799 CMS
EXACTECH, INC. $81.1410/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976777 CMS
EXACTECH, INC. $41.8810/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976781 CMS
EXACTECH, INC. $250.0009/28/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974795 CMS
EXACTECH, INC. $4,375.0009/26/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974793 CMS
EXACTECH, INC. $13.6709/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974979 CMS
EXACTECH, INC. $99.2909/26/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974987 CMS
EXACTECH, INC. $119.0609/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976801 CMS
EXACTECH, INC. $237.2209/26/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976815 CMS
EXACTECH, INC. $409.2109/26/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976867 CMS
Catalyst OrthoScience $74.8509/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 964056841 CMS
Catalyst OrthoScience $217.0309/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 964056843 CMS
MEDACTA USA, INC. $122.6407/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 937576143 CMS
EXACTECH, INC. $750.0006/10/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974159 CMS
EXACTECH, INC. $107.1406/10/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976803 CMS
EXACTECH, INC. $7,625.0006/09/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974161 CMS
EXACTECH, INC. $10.3306/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974809 CMS
EXACTECH, INC. $77.0006/09/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974981 CMS
EXACTECH, INC. $904.3306/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976787 CMS
EXACTECH, INC. $926.7006/09/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976813 CMS
EXACTECH, INC. $2,054.6106/09/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976865 CMS
EXACTECH, INC. $500.0006/01/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974163 CMS
Stryker Corporation $20.6305/18/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 922284055 CMS
EXACTECH, INC. $4,625.0004/22/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974165 CMS
EXACTECH, INC. $9.2904/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974977 CMS
EXACTECH, INC. $51.9204/22/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974983 CMS
EXACTECH, INC. $235.4604/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976805 CMS
EXACTECH, INC. $871.4604/22/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976869 CMS
Smith+Nephew, Inc. $26.6204/19/2022 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 960839089 CMS
EXACTECH, INC. $500.0004/12/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974803 CMS
EXACTECH, INC. $16.1404/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963977349 CMS
EXACTECH, INC. $7,000.0004/07/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974801 CMS
EXACTECH, INC. $77.0004/07/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974989 CMS
EXACTECH, INC. $154.2504/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976779 CMS
EXACTECH, INC. $321.0204/07/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976811 CMS
EXACTECH, INC. $640.7804/07/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976859 CMS
EXACTECH, INC. $147.0803/24/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976775 CMS
EXACTECH, INC. $1,500.0003/23/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974805 CMS
EXACTECH, INC. $171.6703/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963977179 CMS
EXACTECH, INC. $3,250.0001/28/2022 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963974807 CMS
EXACTECH, INC. $329.5001/28/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963975435 CMS
EXACTECH, INC. $108.4201/28/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976783 CMS
EXACTECH, INC. $228.6301/28/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 963976861 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $42,182.23 54
PY2020 $15,584.66 25
PY2021 $28,098.90 37
PY2022 $49,985.15 52
PY2023 $35,781.44 35
PY2024 $29,625.59 29
PY2025 $51,090.06 42

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.