Covered recipient · General Payments record
MICHAEL PAUL AST
Allopathic & Osteopathic Physicians Orthopaedic Surgery
General Payments · PY2019–2025
$1,316,815.20
- Reported across 751 records
- CMS publication 2026-06-30
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
PY2025 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Royalty or License | $212,335.29 | 13 |
| Consulting Fee | $106,248.75 | 28 |
| Travel and Lodging | $14,148.48 | 33 |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $8,450.00 | 2 |
| Food and Beverage | $5,238.04 | 51 |
By paying entity
PY2025 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| ORTHALIGN INC | $211,926.18 | 18 |
| Smith+Nephew, Inc. | $124,359.86 | 106 |
| VERTEX PHARMACEUTICALS INCORPORATED | $9,950.00 | 1 |
| DePuy Synthes Sales Inc. | $122.07 | 1 |
| Heron Therapeutics, Inc. | $62.45 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2025 (127)
Sorted by paying entity, then date · as published by 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
- 2019, 2020, 2021, 2022, 2023, 2024, 2025
- Source files
- Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
- Generated from
- OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv
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