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

AVNISH CLERK

Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine

NPI
1316105828
CMS profile
14727
Location
EXETER, NH

General Payments · PY2018–2024

$85,133.94

  • Reported across 214 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$20,794.04

47 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
Consulting Fee $13,000.00 4
Travel and Lodging $5,895.46 15
Food and Beverage $1,898.58 28

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Stryker Corporation $17,025.28 31
Shoulder Innovations, Inc. $2,919.85 3
Zimmer Biomet Holdings, Inc. $427.23 6
Ethicon US, LLC $274.46 6
Innovation Technologies Inc $147.22 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $4,575.55 24
PY2019 $1,473.19 17
PY2020 $4,356.90 12
PY2021 $31,085.84 48
PY2022 $19,297.86 48
PY2023 $3,550.56 18
PY2024 $20,794.04 47

Payment records · PY2024 (47)

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

Program year 2024 201820192020202120222023 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
Ethicon US, LLC $107.63 01/24/2024 Food and Beverage Undisputed 01/23/2026 1077638756 CMS
Ethicon US, LLC $24.60 03/19/2024 Food and Beverage Undisputed 01/23/2026 1077638712 CMS
Ethicon US, LLC $6.34 03/19/2024 Food and Beverage Undisputed 01/23/2026 1077638722 CMS
Ethicon US, LLC $23.76 05/08/2024 Food and Beverage Undisputed 01/23/2026 1077638732 CMS
Ethicon US, LLC $12.58 06/05/2024 Food and Beverage Undisputed 01/23/2026 1077638730 CMS
Ethicon US, LLC $99.55 10/30/2024 Food and Beverage Undisputed 01/23/2026 1077638764 CMS
Innovation Technologies Inc $147.22 03/26/2024 Food and Beverage Undisputed 01/23/2026 1130819899 CMS
Shoulder Innovations, Inc. $816.42 04/28/2024 Travel and Lodging Undisputed 01/23/2026 1154013547 CMS
Shoulder Innovations, Inc. $1,953.99 05/17/2024 Travel and Lodging Undisputed 01/23/2026 1154013543 CMS
Shoulder Innovations, Inc. $149.44 06/22/2024 Food and Beverage Undisputed 01/23/2026 1154013545 CMS
Stryker Corporation $1,600.00 01/04/2024 Consulting Fee Undisputed 01/23/2026 1119801279 CMS
Stryker Corporation $2,800.00 01/11/2024 Consulting Fee Undisputed 01/23/2026 1119801281 CMS
Stryker Corporation $32.48 03/14/2024 Food and Beverage Undisputed 01/23/2026 1119801283 CMS
Stryker Corporation $113.48 04/02/2024 Food and Beverage Undisputed 01/23/2026 1119801285 CMS
Stryker Corporation $8.58 05/02/2024 Food and Beverage Undisputed 01/23/2026 1119801287 CMS
Stryker Corporation $241.82 08/14/2024 Travel and Lodging Undisputed 01/23/2026 1119801289 CMS
Stryker Corporation $406.30 09/03/2024 Travel and Lodging Undisputed 01/23/2026 1119801291 CMS
Stryker Corporation $42.04 09/05/2024 Travel and Lodging Undisputed 01/23/2026 1119801293 CMS
Stryker Corporation $392.00 09/12/2024 Travel and Lodging Undisputed 01/23/2026 1119801295 CMS
Stryker Corporation $39.59 09/14/2024 Food and Beverage Undisputed 01/23/2026 1119801297 CMS
Stryker Corporation $30.64 09/14/2024 Food and Beverage Undisputed 01/23/2026 1119801299 CMS
Stryker Corporation $164.88 09/20/2024 Food and Beverage Undisputed 01/23/2026 1119801301 CMS
Stryker Corporation $67.77 09/20/2024 Food and Beverage Undisputed 01/23/2026 1119801303 CMS
Stryker Corporation $50.38 09/20/2024 Food and Beverage Undisputed 01/23/2026 1119801305 CMS
Stryker Corporation $292.67 09/20/2024 Travel and Lodging Undisputed 01/23/2026 1119801307 CMS
Stryker Corporation $32.57 09/21/2024 Food and Beverage Undisputed 01/23/2026 1119801309 CMS
Stryker Corporation $49.47 09/21/2024 Food and Beverage Undisputed 01/23/2026 1119801311 CMS
Stryker Corporation $35.10 09/21/2024 Travel and Lodging Undisputed 01/23/2026 1119801313 CMS
Stryker Corporation $15.56 09/21/2024 Food and Beverage Undisputed 01/23/2026 1119801315 CMS
Stryker Corporation $126.53 09/27/2024 Food and Beverage Undisputed 01/23/2026 1119801317 CMS
Stryker Corporation $1,600.00 09/27/2024 Consulting Fee Undisputed 01/23/2026 1119801319 CMS
Stryker Corporation $224.64 09/28/2024 Travel and Lodging Undisputed 01/23/2026 1119801321 CMS
Stryker Corporation $216.64 09/29/2024 Travel and Lodging Undisputed 01/23/2026 1119801323 CMS
Stryker Corporation $212.32 09/30/2024 Travel and Lodging Undisputed 01/23/2026 1119801325 CMS
Stryker Corporation $189.33 10/01/2024 Travel and Lodging Undisputed 01/23/2026 1119801327 CMS
Stryker Corporation $252.29 10/01/2024 Travel and Lodging Undisputed 01/23/2026 1119801329 CMS
Stryker Corporation $190.23 10/01/2024 Travel and Lodging Undisputed 01/23/2026 1119801331 CMS
Stryker Corporation $429.67 10/07/2024 Travel and Lodging Undisputed 01/23/2026 1119801333 CMS
Stryker Corporation $7,000.00 10/11/2024 Consulting Fee Undisputed 01/23/2026 1119801335 CMS
Stryker Corporation $9.63 10/18/2024 Food and Beverage Undisputed 01/23/2026 1119801337 CMS
Stryker Corporation $158.67 11/15/2024 Food and Beverage Undisputed 01/23/2026 1119801339 CMS
Zimmer Biomet Holdings, Inc. $125.00 01/10/2024 Food and Beverage Undisputed 01/23/2026 1155041969 CMS
Zimmer Biomet Holdings, Inc. $16.42 01/23/2024 Food and Beverage Undisputed 01/23/2026 1155041973 CMS
Zimmer Biomet Holdings, Inc. $109.15 02/01/2024 Food and Beverage Undisputed 01/23/2026 1155041947 CMS
Zimmer Biomet Holdings, Inc. $44.00 02/02/2024 Food and Beverage Undisputed 01/23/2026 1155041943 CMS
Zimmer Biomet Holdings, Inc. $39.71 02/02/2024 Food and Beverage Undisputed 01/23/2026 1155041945 CMS
Zimmer Biomet Holdings, Inc. $92.95 02/02/2024 Food and Beverage Undisputed 01/23/2026 1155041949 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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