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

Covered recipient · General Payments record

BETSY HUGHES GRUNCH

Allopathic & Osteopathic Physicians Neurological Surgery

NPI
1265606644
CMS profile
193687
Location
GAINESVILLE, GA

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.

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General Payments · PY2019 · Entire year

$107,148.31

66 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

Other CMS categories — not shown on this page

Research Payments

CMS also publishes Research Payments as a separate dataset. This site does not currently mirror it, and no research figure is shown on this page. This provider appears in that dataset.

“If you are a physician who served as a principal investigator on a research study, you may see the payments associated with that research study listed under your name. This does not necessarily mean the payments are attributed to you. The dollar amount of the record corresponds to the total payment; the amounts are not attributed to each individual on the record.”

— Centers for Medicare & Medicaid Services, Open Payments Frequently Asked Questions, FAQ #12224

Ownership and Investment Interests

CMS also publishes Ownership and Investment Interests as a separate dataset. This site does not currently mirror it, and no ownership figure is shown on this page. This provider appears in that dataset.

Ownership and investment interests are reported as the value of an interest held, not as a payment received. They are a different measure from the payment total on this page and are never combined with it.

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2019 · entire year · sorted by reported total

By paying entity

PY2019 · entire year · sorted by reported total

Page 1 of 2; records 1–50 of 66 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

BETSY HUGHES GRUNCH

NPI 1265606644 · CMS profile ID 193687

Allopathic & Osteopathic Physicians / Neurological Surgery

GAINESVILLE, GA

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.

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.

General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 66 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1265606644?year=2019&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
BETSY HUGHES GRUNCH, NPI 1265606644, CMS profile ID 193687. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 66 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1265606644?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
APA 7
IndustryPayments. (2026). BETSY HUGHES GRUNCH, NPI 1265606644, CMS profile ID 193687. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 66 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1265606644?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
Bluebook
BETSY HUGHES GRUNCH, NPI 1265606644, CMS profile ID 193687, IndustryPayments, General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 66 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e. https://industrypayments.org/provider/npi-1265606644?year=2019&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2019

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

General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30

66 matching records · $107,148.31 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 66 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 66.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Ethicon US, LLC $2.6212/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 718855455 CMS
Ethicon US, LLC $15.4812/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 718855445 CMS
Aesculap Implant Systems, LLC $1,500.0012/03/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855319 CMS
Alevio, LLC $105.2811/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 694982871 CMS
Abbott Laboratories $31.6811/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 666929617 CMS
Aesculap Implant Systems, LLC $20.0311/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855317 CMS
Zimmer Biomet Holdings, Inc. $62.9111/05/2019 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 656452317 CMS
Zimmer Biomet Holdings, Inc. $62.9111/05/2019 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 656452321 CMS
KCI USA, Inc $14.9310/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 707607819 CMS
Spineology Inc. $413.8309/15/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704533593 CMS
Clariance SAS $544.6009/03/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 707467631 CMS
Medtronic USA, Inc. $161.7108/28/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667695167 CMS
Spineology Inc. $276.6008/15/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704533591 CMS
Zimmer Biomet Holdings, Inc. $122.5708/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 656452314 CMS
Aesculap Implant Systems, LLC $3,750.4708/02/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855313 CMS
Aesculap Implant Systems, LLC $1,000.0008/02/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855315 CMS
Clariance SAS $2,700.0007/31/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 705121071 CMS
Clariance, Inc. $102.0007/22/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 684238291 CMS
Clariance, Inc. $76.8007/22/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 684273619 CMS
Clariance, Inc. $283.1807/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 680957825 CMS
Clariance, Inc. $108.0007/20/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 684238259 CMS
Wound Management Technologies, Inc $90.9507/16/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 705596311 CMS
Medtronic USA, Inc. $108.0607/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667808783 CMS
KCI USA, Inc $124.8306/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 707607815 CMS
KCI USA, Inc $124.8306/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 707607817 CMS
Medtronic USA, Inc. $4.8606/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 667644555 CMS
KCI USA, Inc $15.1106/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 707607813 CMS
TITAN SPINE, LLC $6,204.4406/14/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 626052703 CMS
Aesculap Implant Systems, LLC $66.5506/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855307 CMS
Aesculap Implant Systems, LLC $54.2806/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855309 CMS
Aesculap Implant Systems, LLC $62.8606/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855311 CMS
Aesculap Implant Systems, LLC $106.7506/01/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855295 CMS
Aesculap Implant Systems, LLC $476.6006/01/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855297 CMS
Aesculap Implant Systems, LLC $25.0006/01/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855299 CMS
Aesculap Implant Systems, LLC $108.7506/01/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855301 CMS
Aesculap Implant Systems, LLC $133.9606/01/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855303 CMS
Aesculap Implant Systems, LLC $54.2606/01/2019 Gift No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 665855305 CMS
Hyhte Holdings Inc. $36,334.8405/30/2019 Royalty or License No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 753793775 CMS
Brainlab, Inc. $4.5405/18/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671674647 CMS
Brainlab, Inc. $377.6905/18/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671674675 CMS
TITAN SPINE, LLC $105.7505/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 626052701 CMS
Zyla Life Sciences $15.5505/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 704845813 CMS
Integra LifeSciences Corporation $13.9905/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 697145165 CMS
Clariance SAS $1,800.0005/02/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 705106527 CMS
Clariance SAS $520.6005/02/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 705120267 CMS
TITAN SPINE, LLC $212.3005/01/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 626052697 CMS
TITAN SPINE, LLC $212.3005/01/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 626052699 CMS
Brainlab, Inc. $176.6104/30/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671837265 CMS
Brainlab, Inc. $28.0004/30/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 671837267 CMS
Choice Spine, LLC $2,812.5004/16/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 621442915 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $107,148.31 66
PY2020 $72,568.60 29
PY2021 $101,410.99 38
PY2022 $133,407.97 60
PY2023 $191,051.95 171
PY2024 $278,076.30 254
PY2025 $201,934.38 113

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
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
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.