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

JAMES JOHN GUERRA

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1437114592
CMS profile
109892
Location
NAPLES, FL

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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Filter and download payment records

General Payments · PY2019 · Entire year

$83,156.06

58 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

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

Paying entityAmountRecords
Arthrex, Inc. $82,965.26 54
Zimmer Biomet Holdings, Inc. $113.65 1
Smith+Nephew, Inc. $61.63 2
Flexion Therapeutics, Inc. $15.52 1

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

58 matching records · $83,156.06 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 58 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 58.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Flexion Therapeutics, Inc. $15.5212/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026705870059 CMS
Arthrex, Inc. $15,494.5911/15/2019 Royalty or License No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066899 CMS
Arthrex, Inc. $1,250.0010/24/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066887 CMS
Arthrex, Inc. $1,000.0010/24/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066889 CMS
Arthrex, Inc. $750.0010/24/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066891 CMS
Arthrex, Inc. $1,000.0010/24/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066893 CMS
Arthrex, Inc. $1,000.0010/24/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066895 CMS
Arthrex, Inc. $3,500.0010/24/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066897 CMS
Arthrex, Inc. $500.0008/23/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066885 CMS
Arthrex, Inc. $13,203.8208/15/2019 Royalty or License No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066883 CMS
Zimmer Biomet Holdings, Inc. $113.6508/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026656452365 CMS
Arthrex, Inc. $1,250.0007/25/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066877 CMS
Arthrex, Inc. $9,750.0007/25/2019 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: UNCHANGED
06/30/2026655066879 CMS
Arthrex, Inc. $1,000.0007/25/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066881 CMS
Arthrex, Inc. $28.5807/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066873 CMS
Arthrex, Inc. $28.5807/10/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066875 CMS
Arthrex, Inc. $12,221.9005/15/2019 Royalty or License No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066871 CMS
Arthrex, Inc. $1.5205/08/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066867 CMS
Arthrex, Inc. $7.3505/08/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066869 CMS
Arthrex, Inc. $1,000.0005/02/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066863 CMS
Arthrex, Inc. $1,000.0005/02/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066865 CMS
Arthrex, Inc. $16.0004/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066859 CMS
Arthrex, Inc. $12.0004/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066861 CMS
Arthrex, Inc. $75.0004/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066853 CMS
Arthrex, Inc. $16.0004/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066855 CMS
Arthrex, Inc. $3.5004/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066857 CMS
Arthrex, Inc. $4,000.0004/25/2019 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: UNCHANGED
06/30/2026655066849 CMS
Arthrex, Inc. $250.0004/25/2019 Consulting Fee No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066851 CMS
Arthrex, Inc. $6.1404/15/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066845 CMS
Arthrex, Inc. $5.1004/15/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066847 CMS
Arthrex, Inc. $16.0004/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066839 CMS
Arthrex, Inc. $5.0004/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066841 CMS
Arthrex, Inc. $12.0004/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066843 CMS
Arthrex, Inc. $5.0004/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066831 CMS
Arthrex, Inc. $12.0004/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066833 CMS
Arthrex, Inc. $16.0004/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066835 CMS
Arthrex, Inc. $75.0004/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066837 CMS
Arthrex, Inc. $9,718.8302/15/2019 Royalty or License No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066829 CMS
Arthrex, Inc. $18.5402/12/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066827 CMS
Arthrex, Inc. $42.2202/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066807 CMS
Arthrex, Inc. $28.0502/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066809 CMS
Arthrex, Inc. $18.0402/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066811 CMS
Arthrex, Inc. $39.9402/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066813 CMS
Arthrex, Inc. $28.1802/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066815 CMS
Arthrex, Inc. $17.4402/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066817 CMS
Arthrex, Inc. $52.3602/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066819 CMS
Arthrex, Inc. $20.6502/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066821 CMS
Arthrex, Inc. $69.6002/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066823 CMS
Arthrex, Inc. $122.3302/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026655066825 CMS
Smith+Nephew, Inc. $34.5802/01/2019 Food and Beverage No dispute reported Delay: No
Change: CHANGED
06/30/2026699327427 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $83,156.06 58
PY2020 $137,560.57 51
PY2021 $285,377.12 66
PY2022 $539,879.66 77
PY2023 $694,652.36 90
PY2024 $516,250.64 59
PY2025 $394,753.51 51

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.

Cite this record.

Plain
JAMES JOHN GUERRA, NPI 1437114592. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1437114592.
APA 7
IndustryPayments. (2026). JAMES JOHN GUERRA, NPI 1437114592 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1437114592
Bluebook
JAMES JOHN GUERRA, NPI 1437114592, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1437114592.

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