JULIA ANN VETTER NUELLE
Allopathic & Osteopathic Physicians|Surgery|Surgery of the Hand COLUMBIA, MO NPI 1144516634
Browse related groups: Allopathic & Osteopathic Physicians|Surgery|Surgery of the Hand MO Arthrex, Inc. All categories
General Payments — all program years on this page
$20,406.36
- Category: General Payments
- Program years: PY2018–2024
- Record count: 75
- As of (CMS publication): 2026-01-23
Latest program year (PY2024): $2,644.80 across 8 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 | $2,337.50 | 1 |
| Food and Beverage | $307.30 | 7 |
By paying entity
Latest program year (PY2024) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| Arthrex, Inc. | $2,361.50 | 2 |
| Elite Orthopedics, LLC | $237.49 | 4 |
| Integra LifeSciences Corporation | $45.81 | 2 |
By program year
Records — PY2024 (8)
| Record ID | Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Source |
|---|---|---|---|---|---|---|---|
| 1140108737 | Integra LifeSciences Corporation | $27.66 | 06/13/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1140108742 | Integra LifeSciences Corporation | $18.15 | 07/17/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1146516476 | Arthrex, Inc. | $24.00 | 08/02/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1146516480 | Arthrex, Inc. | $2,337.50 | 10/24/2024 | Consulting Fee | Undisputed | 01/23/2026 | View at CMS |
| 1150022892 | Elite Orthopedics, Llc | $112.93 | 08/03/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1150022894 | Elite Orthopedics, Llc | $7.51 | 02/27/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1150022896 | Elite Orthopedics, Llc | $105.59 | 02/14/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1150022898 | Elite Orthopedics, Llc | $11.46 | 03/11/2024 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
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.