Covered recipient · General Payments record
NICHOLAS A SHEPARD
Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine
General Payments · PY2020–2025
$49,309.63
- Reported across 110 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Consulting Fee | $18,825.00 | 4 |
| Travel and Lodging | $4,562.21 | 12 |
| Food and Beverage | $474.44 | 7 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Alphatec Spine, Inc | $15,503.17 | 8 |
| Augmedics Inc. | $8,200.25 | 12 |
| Stryker Corporation | $91.02 | 1 |
| DJO, LLC | $35.53 | 1 |
| Acerta Pharma LLC | $31.68 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (23)
Sorted by paying entity, then date · as published by CMS
Program year 2025 20202021202220232024
Record-level detail is published for PY2025; earlier years are summarised in
“By program year”.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Alphatec Spine, Inc | $5,500.00 | 02/06/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1209176371 | CMS |
| Alphatec Spine, Inc | $696.00 | 02/06/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1209176405 | CMS |
| Alphatec Spine, Inc | $20.21 | 05/27/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1209176553 | CMS |
| Alphatec Spine, Inc | $25.00 | 09/23/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1209176547 | CMS |
| Alphatec Spine, Inc | $1,146.68 | 09/23/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1209176549 | CMS |
| Alphatec Spine, Inc | $7,000.00 | 10/25/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1209176415 | CMS |
| Alphatec Spine, Inc | $237.28 | 10/29/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1209176515 | CMS |
| Alphatec Spine, Inc | $878.00 | 11/21/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1209176457 | CMS |
| AstraZeneca Pharmaceuticals LP | $31.68 | 01/13/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1206272546 | CMS |
| Augmedics Inc. | $712.95 | 02/15/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252323084 | CMS |
| Augmedics Inc. | $94.91 | 02/15/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252323086 | CMS |
| Augmedics Inc. | $198.97 | 02/15/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252323604 | CMS |
| Augmedics Inc. | $26.47 | 02/15/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1252323658 | CMS |
| Augmedics Inc. | $204.40 | 02/15/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252323760 | CMS |
| Augmedics Inc. | $2,750.00 | 03/06/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1252323768 | CMS |
| Augmedics Inc. | $208.48 | 08/23/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252323520 | CMS |
| Augmedics Inc. | $178.49 | 08/23/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252323522 | CMS |
| Augmedics Inc. | $32.25 | 08/23/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1252323524 | CMS |
| Augmedics Inc. | $91.13 | 08/23/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252323532 | CMS |
| Augmedics Inc. | $127.20 | 08/23/2025 | Travel and Lodging | Undisputed | 06/30/2026 | 1252324010 | CMS |
| Augmedics Inc. | $3,575.00 | 09/24/2025 | Consulting Fee | Undisputed | 06/30/2026 | 1252324018 | CMS |
| DJO, LLC | $35.53 | 07/17/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1255068110 | CMS |
| Stryker Corporation | $91.02 | 02/04/2025 | Food and Beverage | Undisputed | 06/30/2026 | 1227910210 | CMS |
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
- 2020, 2021, 2022, 2023, 2024, 2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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