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

ADAM J MIRARCHI

Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery

NPI
1417931304
CMS profile
109061
Location
PORTLAND, OR

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

$36,580.76

37 records · 0 disputed

Summary and payment records

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

“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

Paying entityAmountRecords
Medical Device Business Services, Inc. $18,230.46 13
Smith+Nephew, Inc. $10,719.04 14
ACUMED LLC $7,615.98 9
ENCORE MEDICAL, LP $15.28 1

Page 1 of 1; records 1–37 of 37 matching records. This page contains 37 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

ADAM J MIRARCHI

NPI 1417931304 · CMS profile ID 109061

Allopathic & Osteopathic Physicians / Orthopaedic Surgery / Hand Surgery

PORTLAND, OR

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 1; records 1–37 of 37 matching records. This page contains 37 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1417931304?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
ADAM J MIRARCHI, NPI 1417931304, CMS profile ID 109061. 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 1; records 1–37 of 37 matching records. This page contains 37 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1417931304?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
APA 7
IndustryPayments. (2026). ADAM J MIRARCHI, NPI 1417931304, CMS profile ID 109061. 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 1; records 1–37 of 37 matching records. This page contains 37 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1417931304?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
Bluebook
ADAM J MIRARCHI, NPI 1417931304, CMS profile ID 109061, 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 1; records 1–37 of 37 matching records. This page contains 37 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e. https://industrypayments.org/provider/npi-1417931304?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

37 matching records · $36,580.76 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 37 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 1–37 of 37.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Smith+Nephew, Inc. $32.4810/17/2019 Travel and Lodging No dispute reported Delay: No
Change: CHANGED
06/30/2026 699385339 CMS
Smith+Nephew, Inc. $8,137.5010/17/2019 Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program No dispute reported Delay: No
Change: CHANGED
06/30/2026 699483567 CMS
Smith+Nephew, Inc. $13.6910/03/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699455709 CMS
Medical Device Business Services, Inc. $99.1809/18/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850821 CMS
Medical Device Business Services, Inc. $16,380.7809/18/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850823 CMS
Medical Device Business Services, Inc. $49.5909/18/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850825 CMS
ACUMED LLC $100.0009/06/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 651527819 CMS
Smith+Nephew, Inc. $472.7808/25/2019 Travel and Lodging No dispute reported Delay: No
Change: CHANGED
06/30/2026 699405867 CMS
Smith+Nephew, Inc. $45.8108/24/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699389711 CMS
Smith+Nephew, Inc. $55.2208/24/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699480503 CMS
Smith+Nephew, Inc. $46.9408/23/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699428697 CMS
Smith+Nephew, Inc. $126.3608/23/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699428699 CMS
Smith+Nephew, Inc. $422.8508/23/2019 Travel and Lodging No dispute reported Delay: No
Change: CHANGED
06/30/2026 699480499 CMS
Smith+Nephew, Inc. $17.2508/22/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699389713 CMS
Smith+Nephew, Inc. $250.7108/22/2019 Travel and Lodging No dispute reported Delay: No
Change: CHANGED
06/30/2026 699405865 CMS
ACUMED LLC $5,062.5008/08/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 653535999 CMS
Smith+Nephew, Inc. $34.7808/01/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699393999 CMS
Medical Device Business Services, Inc. $25.6207/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850815 CMS
Medical Device Business Services, Inc. $32.0407/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850817 CMS
Medical Device Business Services, Inc. $31.9707/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850819 CMS
Medical Device Business Services, Inc. $24.3307/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850807 CMS
Medical Device Business Services, Inc. $24.3307/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850809 CMS
Medical Device Business Services, Inc. $31.9707/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850811 CMS
Medical Device Business Services, Inc. $116.7707/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850813 CMS
Medical Device Business Services, Inc. $800.4907/19/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850801 CMS
Medical Device Business Services, Inc. $336.7407/19/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850803 CMS
Medical Device Business Services, Inc. $276.6507/19/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 655850805 CMS
ENCORE MEDICAL, LP $15.2806/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 696030445 CMS
Smith+Nephew, Inc. $1,050.0005/22/2019 Consulting Fee No dispute reported Delay: No
Change: CHANGED
06/30/2026 699348593 CMS
ACUMED LLC $364.9505/15/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 702221629 CMS
ACUMED LLC $364.9505/15/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 702221633 CMS
ACUMED LLC $364.9505/15/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 702221635 CMS
ACUMED LLC $262.3505/15/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 702221639 CMS
ACUMED LLC $787.5005/15/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 702221643 CMS
ACUMED LLC $261.0005/15/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 702221645 CMS
ACUMED LLC $47.7804/03/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026 651775113 CMS
Smith+Nephew, Inc. $12.6702/07/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026 699444863 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $36,580.76 37
PY2020 $14,769.35 10
PY2021 $9,958.27 5
PY2022 $1,455.18 14
PY2023 $21,197.49 17
PY2024 $20.25 1
PY2025 $14,744.57 8

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.