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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

TODD ALTER

Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery

NPI
1184184095
CMS profile
11423162
Location
LIVINGSTON, NJ

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.

General Payments · PY2022–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$5,511.61

35 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $2,824.80 11
Consulting Fee $1,500.00 1
Food and Beverage $1,186.81 23

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
ENCORE MEDICAL, LP $1,684.80 2
MEDACTA USA, INC. $1,278.72 8
Arthrex, Inc. $1,176.61 12
Skeletal Dynamics Inc $724.25 3
AXOGEN $209.52 4
EXACTECH, INC. $160.01 1
CGG Medical Inc $144.54 3
SeaPearl East, Inc $128.16 1
Electronic Waveform Lab, Inc. $5.00 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2022 $1,429.36 4
PY2023 $131.73 5
PY2024 $1,709.47 7
PY2025 $5,511.61 35

Payment records · PY2025 (35)

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

Program year 2025 202220232024 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
SeaPearl East, Inc $128.16 12/17/2025 Food and Beverage No dispute reported 06/30/2026 1244768879 CMS
Electronic Waveform Lab, Inc. $5.00 12/08/2025 Food and Beverage No dispute reported 06/30/2026 1186416766 CMS
AXOGEN $19.00 11/07/2025 Food and Beverage No dispute reported 06/30/2026 1253450488 CMS
Medacta USA, Inc. $383.13 09/26/2025 Travel and Lodging No dispute reported 06/30/2026 1242115187 CMS
Medacta USA, Inc. $217.00 09/26/2025 Travel and Lodging No dispute reported 06/30/2026 1242115189 CMS
Medacta USA, Inc. $126.04 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1242115191 CMS
Medacta USA, Inc. $44.00 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1242115211 CMS
Medacta USA, Inc. $22.00 09/26/2025 Food and Beverage No dispute reported 06/30/2026 1242115213 CMS
Medacta USA, Inc. $3.00 09/09/2025 Travel and Lodging No dispute reported 06/30/2026 1242115183 CMS
Medacta USA, Inc. $84.58 08/21/2025 Food and Beverage No dispute reported 06/30/2026 1242115181 CMS
ENCORE MEDICAL, LP $1,500.00 08/08/2025 Consulting Fee No dispute reported 06/30/2026 1255076304 CMS
ENCORE MEDICAL, LP $184.80 08/08/2025 Travel and Lodging No dispute reported 06/30/2026 1255076306 CMS
Medacta USA, Inc. $398.97 07/31/2025 Travel and Lodging No dispute reported 06/30/2026 1242115119 CMS
AXOGEN $15.05 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1253451160 CMS
AXOGEN $80.52 07/28/2025 Food and Beverage No dispute reported 06/30/2026 1253453364 CMS
EXACTECH, INC. $160.01 07/22/2025 Food and Beverage No dispute reported 06/30/2026 1254964741 CMS
Skeletal Dynamics Inc $30.17 06/17/2025 Food and Beverage No dispute reported 06/30/2026 1192855355 CMS
Skeletal Dynamics Inc $668.29 06/17/2025 Travel and Lodging No dispute reported 06/30/2026 1192855359 CMS
Skeletal Dynamics Inc $25.79 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1192855181 CMS
Arthrex, Inc. $31.35 05/22/2025 Travel and Lodging No dispute reported 06/30/2026 1246567436 CMS
Arthrex, Inc. $205.66 04/26/2025 Travel and Lodging No dispute reported 06/30/2026 1246537291 CMS
Arthrex, Inc. $10.00 04/26/2025 Food and Beverage No dispute reported 06/30/2026 1246561447 CMS
Arthrex, Inc. $24.00 04/26/2025 Food and Beverage No dispute reported 06/30/2026 1246561449 CMS
Arthrex, Inc. $30.00 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1246559350 CMS
Arthrex, Inc. $34.00 04/25/2025 Food and Beverage No dispute reported 06/30/2026 1246559356 CMS
Arthrex, Inc. $244.20 04/25/2025 Travel and Lodging No dispute reported 06/30/2026 1246617769 CMS
Arthrex, Inc. $34.00 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1246559344 CMS
Arthrex, Inc. $30.00 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1246561445 CMS
Arthrex, Inc. $45.00 04/24/2025 Food and Beverage No dispute reported 06/30/2026 1246562364 CMS
Arthrex, Inc. $244.20 04/24/2025 Travel and Lodging No dispute reported 06/30/2026 1246618818 CMS
Arthrex, Inc. $244.20 04/23/2025 Travel and Lodging No dispute reported 06/30/2026 1246618039 CMS
CGG Medical Inc $3.37 04/12/2025 Food and Beverage No dispute reported 06/30/2026 1244651563 CMS
CGG Medical Inc $3.90 04/12/2025 Food and Beverage No dispute reported 06/30/2026 1244651567 CMS
CGG Medical Inc $137.27 04/11/2025 Food and Beverage No dispute reported 06/30/2026 1244651565 CMS
AXOGEN $94.95 02/17/2025 Food and Beverage No dispute reported 06/30/2026 1253461076 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
2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2022 , PY2023 , PY2024 , PY2025
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.

Cite this record.

Plain
TODD ALTER, NPI 1184184095. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1184184095.
APA 7
IndustryPayments. (2026). TODD ALTER, NPI 1184184095 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1184184095
Bluebook
TODD ALTER, NPI 1184184095, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1184184095.

Source: Centers for Medicare & Medicaid Services, Open Payments.