Covered recipient · General Payments record

RYAN M NUNLEY

Allopathic & Osteopathic Physicians Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery

NPI: 1164568887
CMS profile: 97667
Location: SAINT LOUIS, MO

General Payments · PY2018–2024

$3,788,628.32

Reported across 991 records
CMS publication 2026-01-23

Latest program year · PY2024

$736,703.43

116 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 payment	Amount	Records
Royalty or License	$586,483.46	12
Consulting Fee	$138,794.67	35
Travel and Lodging	$8,596.17	34
Food and Beverage	$2,329.13	34
Compensation for serving as faculty or as a speaker for a medical education program	$500.00	1

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
Smith & Nephew, Inc.	$308,143.11	4
DePuy Synthes Products LLC	$302,191.96	24
Medical Device Business Services, Inc.	$107,331.08	76
Ethicon Endo-Surgery Inc.	$10,725.00	1
Ethicon Inc.	$6,435.00	3
Ethicon US, LLC	$715.00	1
Synthes GmbH	$500.00	1
DePuy Synthes Sales Inc.	$454.33	4
MEDACTA USA, INC.	$141.41	1
BIOCOMPOSITES INC	$66.54	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$569,844.13	230
PY2019	$625,098.05	229
PY2020	$502,243.18	142
PY2021	$345,872.04	110
PY2022	$416,925.44	69
PY2023	$591,942.05	95
PY2024	$736,703.43	116

Payment records · PY2024 (116)

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

Program year 2024 2018 2019 2020 2021 2022 2023 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
BIOCOMPOSITES INC	$66.54	06/07/2024	Food and Beverage	Undisputed	01/23/2026	1146435016	CMS
DePuy Synthes Products, Inc.	$720.00	02/06/2024	Consulting Fee	Undisputed	01/23/2026	1077795861	CMS
DePuy Synthes Products, Inc.	$2,145.00	02/12/2024	Consulting Fee	Undisputed	01/23/2026	1077795842	CMS
DePuy Synthes Products, Inc.	$23,684.24	03/15/2024	Royalty or License	Undisputed	01/23/2026	1077795864	CMS
DePuy Synthes Products, Inc.	$7,415.54	03/28/2024	Royalty or License	Undisputed	01/23/2026	1077795883	CMS
DePuy Synthes Products, Inc.	$1,430.00	04/15/2024	Consulting Fee	Undisputed	01/23/2026	1077795868	CMS
DePuy Synthes Products, Inc.	$1,430.00	05/15/2024	Consulting Fee	Undisputed	01/23/2026	1077795880	CMS
DePuy Synthes Products, Inc.	$19,722.99	05/30/2024	Royalty or License	Undisputed	01/23/2026	1077795850	CMS
DePuy Synthes Products, Inc.	$44,841.62	06/26/2024	Royalty or License	Undisputed	01/23/2026	1077795887	CMS
DePuy Synthes Products, Inc.	$576.47	07/16/2024	Travel and Lodging	Undisputed	01/23/2026	1077791586	CMS
DePuy Synthes Products, Inc.	$3.10	07/18/2024	Food and Beverage	Undisputed	01/23/2026	1077791548	CMS
DePuy Synthes Products, Inc.	$43.41	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1077791552	CMS
DePuy Synthes Products, Inc.	$4.10	07/19/2024	Food and Beverage	Undisputed	01/23/2026	1077791555	CMS
DePuy Synthes Products, Inc.	$162.55	07/23/2024	Travel and Lodging	Undisputed	01/23/2026	1077791631	CMS
DePuy Synthes Products, Inc.	$100.66	07/23/2024	Travel and Lodging	Undisputed	01/23/2026	1077791744	CMS
DePuy Synthes Products, Inc.	$6,077.50	08/15/2024	Consulting Fee	Undisputed	01/23/2026	1077795845	CMS
DePuy Synthes Products, Inc.	$1,072.50	08/15/2024	Consulting Fee	Undisputed	01/23/2026	1077795876	CMS
DePuy Synthes Products, Inc.	$23,338.67	08/26/2024	Royalty or License	Undisputed	01/23/2026	1077795847	CMS
DePuy Synthes Products, Inc.	$31,435.23	09/25/2024	Royalty or License	Undisputed	01/23/2026	1077795857	CMS
DePuy Synthes Products, Inc.	$32.27	09/26/2024	Food and Beverage	Undisputed	01/23/2026	1077791666	CMS
DePuy Synthes Products, Inc.	$9.05	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1077791727	CMS
DePuy Synthes Products, Inc.	$100,000.00	10/28/2024	Royalty or License	Undisputed	01/23/2026	1077795890	CMS
DePuy Synthes Products, Inc.	$5,005.00	10/30/2024	Consulting Fee	Undisputed	01/23/2026	1077795853	CMS
DePuy Synthes Products, Inc.	$5,040.00	11/20/2024	Consulting Fee	Undisputed	01/23/2026	1077795839	CMS
DePuy Synthes Products, Inc.	$27,902.06	11/25/2024	Royalty or License	Undisputed	01/23/2026	1077795872	CMS
DePuy Synthes Sales Inc.	$132.64	04/29/2024	Food and Beverage	Undisputed	01/23/2026	1077863221	CMS
DePuy Synthes Sales Inc.	$148.82	06/06/2024	Food and Beverage	Undisputed	01/23/2026	1077864543	CMS
DePuy Synthes Sales Inc.	$84.96	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1077864273	CMS
DePuy Synthes Sales Inc.	$87.91	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1077864531	CMS
Ethicon Endo-Surgery Inc.	$10,725.00	08/28/2024	Consulting Fee	Undisputed	01/23/2026	1077621656	CMS
Ethicon Inc.	$3,575.00	01/04/2024	Consulting Fee	Undisputed	01/23/2026	1077585918	CMS
Ethicon Inc.	$1,430.00	06/24/2024	Consulting Fee	Undisputed	01/23/2026	1077585914	CMS
Ethicon Inc.	$1,430.00	08/19/2024	Consulting Fee	Undisputed	01/23/2026	1077585916	CMS
Ethicon US, LLC	$715.00	02/07/2024	Consulting Fee	Undisputed	01/23/2026	1077652012	CMS
MEDACTA USA, INC.	$141.41	11/20/2024	Food and Beverage	Undisputed	01/23/2026	1143690232	CMS
Medical Device Business Services, Inc.	$1,072.50	01/24/2024	Consulting Fee	Undisputed	01/23/2026	1077859456	CMS
Medical Device Business Services, Inc.	$1,787.50	01/26/2024	Consulting Fee	Undisputed	01/23/2026	1077859421	CMS
Medical Device Business Services, Inc.	$1,072.50	02/06/2024	Consulting Fee	Undisputed	01/23/2026	1077859403	CMS
Medical Device Business Services, Inc.	$7.60	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1077797139	CMS
Medical Device Business Services, Inc.	$138.37	02/15/2024	Food and Beverage	Undisputed	01/23/2026	1077797342	CMS
Medical Device Business Services, Inc.	$1,072.50	02/23/2024	Consulting Fee	Undisputed	01/23/2026	1077859385	CMS
Medical Device Business Services, Inc.	$1,430.00	02/23/2024	Consulting Fee	Undisputed	01/23/2026	1077859416	CMS
Medical Device Business Services, Inc.	$147.76	03/08/2024	Food and Beverage	Undisputed	01/23/2026	1077796986	CMS
Medical Device Business Services, Inc.	$657.95	04/09/2024	Travel and Lodging	Undisputed	01/23/2026	1077797082	CMS
Medical Device Business Services, Inc.	$236.20	04/12/2024	Travel and Lodging	Undisputed	01/23/2026	1077796908	CMS
Medical Device Business Services, Inc.	$129.54	04/12/2024	Food and Beverage	Undisputed	01/23/2026	1077797021	CMS
Medical Device Business Services, Inc.	$302.33	04/15/2024	Travel and Lodging	Undisputed	01/23/2026	1077796687	CMS
Medical Device Business Services, Inc.	$144.62	05/01/2024	Food and Beverage	Undisputed	01/23/2026	1077797281	CMS
Medical Device Business Services, Inc.	$102.47	05/06/2024	Food and Beverage	Undisputed	01/23/2026	1077797461	CMS
Medical Device Business Services, Inc.	$17,160.00	05/15/2024	Consulting Fee	Undisputed	01/23/2026	1077859451	CMS
Medical Device Business Services, Inc.	$586.01	06/05/2024	Travel and Lodging	Undisputed	01/23/2026	1077796746	CMS
Medical Device Business Services, Inc.	$49.50	06/05/2024	Travel and Lodging	Undisputed	01/23/2026	1077797176	CMS
Medical Device Business Services, Inc.	$5.50	06/06/2024	Travel and Lodging	Undisputed	01/23/2026	1077796254	CMS
Medical Device Business Services, Inc.	$5.50	06/12/2024	Travel and Lodging	Undisputed	01/23/2026	1077796366	CMS
Medical Device Business Services, Inc.	$158.10	06/12/2024	Travel and Lodging	Undisputed	01/23/2026	1077796917	CMS
Medical Device Business Services, Inc.	$234.08	06/14/2024	Travel and Lodging	Undisputed	01/23/2026	1077796400	CMS
Medical Device Business Services, Inc.	$143.78	06/14/2024	Travel and Lodging	Undisputed	01/23/2026	1077797410	CMS
Medical Device Business Services, Inc.	$33.89	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1077796344	CMS
Medical Device Business Services, Inc.	$39.84	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1077796542	CMS
Medical Device Business Services, Inc.	$75.69	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1077796606	CMS
Medical Device Business Services, Inc.	$173.32	06/15/2024	Travel and Lodging	Undisputed	01/23/2026	1077796774	CMS
Medical Device Business Services, Inc.	$24.73	06/15/2024	Food and Beverage	Undisputed	01/23/2026	1077797389	CMS
Medical Device Business Services, Inc.	$85.63	06/17/2024	Food and Beverage	Undisputed	01/23/2026	1077797156	CMS
Medical Device Business Services, Inc.	$3,575.00	06/19/2024	Consulting Fee	Undisputed	01/23/2026	1077859359	CMS
Medical Device Business Services, Inc.	$715.00	06/19/2024	Consulting Fee	Undisputed	01/23/2026	1077859381	CMS
Medical Device Business Services, Inc.	$1,072.50	06/19/2024	Consulting Fee	Undisputed	01/23/2026	1077859433	CMS
Medical Device Business Services, Inc.	$437.87	06/20/2024	Travel and Lodging	Undisputed	01/23/2026	1077859390	CMS
Medical Device Business Services, Inc.	$9,292.63	06/20/2024	Consulting Fee	Undisputed	01/23/2026	1077859447	CMS
Medical Device Business Services, Inc.	$7,200.00	06/20/2024	Consulting Fee	Undisputed	01/23/2026	1077859460	CMS
Medical Device Business Services, Inc.	$2,145.00	06/27/2024	Consulting Fee	Undisputed	01/23/2026	1077859442	CMS
Medical Device Business Services, Inc.	$104.17	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1077797350	CMS
Medical Device Business Services, Inc.	$5,720.00	07/09/2024	Consulting Fee	Undisputed	01/23/2026	1077859412	CMS
Medical Device Business Services, Inc.	$5,720.00	07/09/2024	Consulting Fee	Undisputed	01/23/2026	1077859429	CMS
Medical Device Business Services, Inc.	$23.57	07/27/2024	Food and Beverage	Undisputed	01/23/2026	1077797436	CMS
Medical Device Business Services, Inc.	$395.87	08/15/2024	Travel and Lodging	Undisputed	01/23/2026	1077796171	CMS
Medical Device Business Services, Inc.	$49.50	08/15/2024	Travel and Lodging	Undisputed	01/23/2026	1077796417	CMS
Medical Device Business Services, Inc.	$49.50	08/15/2024	Travel and Lodging	Undisputed	01/23/2026	1077796845	CMS
Medical Device Business Services, Inc.	$49.50	08/21/2024	Travel and Lodging	Undisputed	01/23/2026	1077796738	CMS
Medical Device Business Services, Inc.	$49.50	08/21/2024	Travel and Lodging	Undisputed	01/23/2026	1077797385	CMS
Medical Device Business Services, Inc.	$23.82	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1077796534	CMS
Medical Device Business Services, Inc.	$378.17	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1077796576	CMS
Medical Device Business Services, Inc.	$49.50	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1077796939	CMS
Medical Device Business Services, Inc.	$49.50	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1077797069	CMS
Medical Device Business Services, Inc.	$328.75	08/22/2024	Travel and Lodging	Undisputed	01/23/2026	1077797290	CMS
Medical Device Business Services, Inc.	$28.03	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1077797588	CMS
Medical Device Business Services, Inc.	$236.17	08/23/2024	Travel and Lodging	Undisputed	01/23/2026	1077796429	CMS
Medical Device Business Services, Inc.	$150.65	08/23/2024	Travel and Lodging	Undisputed	01/23/2026	1077797524	CMS
Medical Device Business Services, Inc.	$1,072.50	08/26/2024	Consulting Fee	Undisputed	01/23/2026	1077859368	CMS
Medical Device Business Services, Inc.	$472.34	09/12/2024	Travel and Lodging	Undisputed	01/23/2026	1077796516	CMS
Medical Device Business Services, Inc.	$810.14	09/12/2024	Travel and Lodging	Undisputed	01/23/2026	1077796758	CMS
Medical Device Business Services, Inc.	$300.87	09/12/2024	Travel and Lodging	Undisputed	01/23/2026	1077796926	CMS
Medical Device Business Services, Inc.	$93.60	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1077796158	CMS
Medical Device Business Services, Inc.	$61.99	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1077796285	CMS
Medical Device Business Services, Inc.	$61.99	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1077796481	CMS
Medical Device Business Services, Inc.	$152.90	09/13/2024	Food and Beverage	Undisputed	01/23/2026	1077796563	CMS
Medical Device Business Services, Inc.	$61.98	09/14/2024	Food and Beverage	Undisputed	01/23/2026	1077796853	CMS
Medical Device Business Services, Inc.	$81.43	09/14/2024	Food and Beverage	Undisputed	01/23/2026	1077797465	CMS
Medical Device Business Services, Inc.	$27.96	09/27/2024	Travel and Lodging	Undisputed	01/23/2026	1077859364	CMS
Medical Device Business Services, Inc.	$3,038.75	09/27/2024	Consulting Fee	Undisputed	01/23/2026	1077859373	CMS
Medical Device Business Services, Inc.	$4,290.00	09/27/2024	Consulting Fee	Undisputed	01/23/2026	1077859394	CMS
Medical Device Business Services, Inc.	$16,266.25	09/27/2024	Consulting Fee	Undisputed	01/23/2026	1077859398	CMS
Medical Device Business Services, Inc.	$1,430.00	09/27/2024	Consulting Fee	Undisputed	01/23/2026	1077859425	CMS
Medical Device Business Services, Inc.	$9,292.04	09/27/2024	Consulting Fee	Undisputed	01/23/2026	1077859438	CMS
Medical Device Business Services, Inc.	$2,860.00	10/25/2024	Consulting Fee	Undisputed	01/23/2026	1077859377	CMS
Medical Device Business Services, Inc.	$715.00	11/20/2024	Consulting Fee	Undisputed	01/23/2026	1077859407	CMS
Medical Device Business Services, Inc.	$11.73	12/07/2024	Food and Beverage	Undisputed	01/23/2026	1077796468	CMS
Medical Device Business Services, Inc.	$2.29	12/07/2024	Food and Beverage	Undisputed	01/23/2026	1077796486	CMS
Medical Device Business Services, Inc.	$197.75	12/07/2024	Travel and Lodging	Undisputed	01/23/2026	1077796559	CMS
Medical Device Business Services, Inc.	$334.30	12/07/2024	Travel and Lodging	Undisputed	01/23/2026	1077796568	CMS
Medical Device Business Services, Inc.	$22.24	12/07/2024	Food and Beverage	Undisputed	01/23/2026	1077796649	CMS
Medical Device Business Services, Inc.	$751.42	12/07/2024	Travel and Lodging	Undisputed	01/23/2026	1077796779	CMS
Smith+Nephew, Inc.	$138,777.76	02/28/2024	Royalty or License	Undisputed	01/23/2026	1149487514	CMS
Smith+Nephew, Inc.	$27,855.22	05/30/2024	Royalty or License	Undisputed	01/23/2026	1149487508	CMS
Smith+Nephew, Inc.	$32,876.23	08/31/2024	Royalty or License	Undisputed	01/23/2026	1149487510	CMS
Smith+Nephew, Inc.	$108,633.90	12/04/2024	Royalty or License	Undisputed	01/23/2026	1149487512	CMS
Synthes GmbH	$500.00	11/12/2024	Compensation for serving as faculty or as a speaker for a medical education program	Undisputed	01/23/2026	1077579260	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: 2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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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.