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

DAVID R MERKLE

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

NPI
1144704800
CMS profile
4482282
Location
FORT MYERS, FL

General Payments · PY2020–2024

$5,341.03

  • Reported across 81 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$817.82

12 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
Food and Beverage $817.82 12

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2020 $1,145.95 10
PY2021 $824.51 19
PY2022 $1,190.35 19
PY2023 $1,362.40 21
PY2024 $817.82 12

Payment records · PY2024 (12)

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

Program year 2024 2020202120222023 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
Aroa Biosurgery Incorporated $254.26 08/14/2024 Food and Beverage Undisputed 01/23/2026 1088813311 CMS
Boston Scientific Corporation $55.43 10/24/2024 Food and Beverage Undisputed 01/23/2026 1092441374 CMS
DISTALMOTION US $23.72 12/13/2024 Food and Beverage Undisputed 01/23/2026 1088932587 CMS
Penumbra, Inc. $124.45 07/11/2024 Food and Beverage Undisputed 01/23/2026 1076205282 CMS
Penumbra, Inc. $77.95 08/13/2024 Food and Beverage Undisputed 01/23/2026 1076205284 CMS
Silk Road Medical, Inc. $155.65 07/30/2024 Food and Beverage Undisputed 01/23/2026 1082264922 CMS
Solventum Corporation $14.98 11/14/2024 Food and Beverage Undisputed 01/23/2026 1144056337 CMS
W. L. Gore & Associates, Inc. $21.68 01/16/2024 Food and Beverage Undisputed 01/23/2026 1148147750 CMS
W. L. Gore & Associates, Inc. $31.53 01/31/2024 Food and Beverage Undisputed 01/23/2026 1148147757 CMS
W. L. Gore & Associates, Inc. $15.81 02/17/2024 Food and Beverage Undisputed 01/23/2026 1148147795 CMS
W. L. Gore & Associates, Inc. $22.95 06/04/2024 Food and Beverage Undisputed 01/23/2026 1148147841 CMS
W. L. Gore & Associates, Inc. $19.41 06/07/2024 Food and Beverage Undisputed 01/23/2026 1148147849 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
2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2020 , PY2021 , PY2022 , PY2023 , PY2024
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.