Covered recipient · General Payments record

RYAN J GNANDT

Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine

NPI: 1538329479
CMS profile: 1397967
Location: PORTSMOUTH, VA

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 · PY2022 · Entire year

$21,930.34

28 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 July 26, 2026. 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

PY2022 · entire year · sorted by reported total

Nature of payment	Amount	Records
Education	$21,541.67	16
Food and Beverage	$388.67	12

By paying entity

PY2022 · entire year · sorted by reported total

Paying entity	Amount	Records
Mid-Atlantic Surgical Systems, LLC	$13,294.32	19
Arthrex, Inc.	$3,600.00	3
Smith+Nephew, Inc.	$3,552.79	2
Fortis Surgical, LLC	$1,210.58	2
Stryker Corporation	$272.65	2

Page 1 of 1; records 1–28 of 28 matching records. This page contains 28 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

RYAN J GNANDT

NPI 1538329479 · CMS profile ID 1397967

Allopathic & Osteopathic Physicians / Orthopaedic Surgery / Sports Medicine

PORTSMOUTH, VA

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, PY2022; 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 1–28 of 28 matching records. This page contains 28 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1538329479?year=2022&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c

Cite these filtered records

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

Plain: RYAN J GNANDT, NPI 1538329479, CMS profile ID 1397967. General Payments, PY2022; 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 1–28 of 28 matching records. This page contains 28 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1538329479?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
APA 7: IndustryPayments. (2026). RYAN J GNANDT, NPI 1538329479, CMS profile ID 1397967. General Payments, PY2022; 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 1–28 of 28 matching records. This page contains 28 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1538329479?year=2022&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c.
Bluebook: RYAN J GNANDT, NPI 1538329479, CMS profile ID 1397967, IndustryPayments, General Payments, PY2022; 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 1–28 of 28 matching records. This page contains 28 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/df01c2f8-dc1f-4e79-96cb-8208beaf143c. https://industrypayments.org/provider/npi-1538329479?year=2022&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

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

General Payments only. Research Payments and Ownership/Investment Interests are separate datasets and are not included.

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

Centers for Medicare & Medicaid Services, Open Payments

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.

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.

IndustryPayments.org is not a consumer reporting agency as defined by the Fair Credit Reporting Act. Do not use this site to determine any person's eligibility for employment, credentialing, insurance, credit, housing, or any other purpose covered by the FCRA.

Methodology: https://industrypayments.org/methodology

Payment records · PY2022

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

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

28 matching records · $21,930.34 reported total · 0 disputed

Nature of payment: All payment types

Records imported here November 5, 2026 (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 28 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 1–28 of 28.

Paying entity	Amount	Date	Nature of payment	Dispute status	Publication flags	Published	Record ID	Source
Fortis Surgical, LLC	$1,200.00	12/07/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	873896487	CMS
Fortis Surgical, LLC	$10.58	12/07/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	873896489	CMS
Stryker Corporation	$150.00	07/18/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	922445167	CMS
Mid-Atlantic Surgical Systems, LLC	$11.25	06/13/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490687	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	06/13/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490689	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	05/16/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490683	CMS
Mid-Atlantic Surgical Systems, LLC	$13.83	05/16/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490685	CMS
Arthrex, Inc.	$1,200.00	05/14/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	901579761	CMS
Arthrex, Inc.	$1,200.00	05/13/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	901579759	CMS
Arthrex, Inc.	$1,200.00	05/12/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	901579757	CMS
Smith+Nephew, Inc.	$11.12	05/03/2022	Food and Beverage	No dispute reported	Delay: No Change: CHANGED	06/30/2026	960978915	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	04/25/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490681	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	04/18/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490677	CMS
Mid-Atlantic Surgical Systems, LLC	$8.80	04/18/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490679	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	04/04/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490675	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	03/21/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490671	CMS
Mid-Atlantic Surgical Systems, LLC	$12.08	03/21/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490673	CMS
Stryker Corporation	$122.65	03/15/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	922445161	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	03/14/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490667	CMS
Mid-Atlantic Surgical Systems, LLC	$12.19	03/14/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490669	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	03/08/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490665	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	02/14/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490661	CMS
Mid-Atlantic Surgical Systems, LLC	$10.16	02/14/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490663	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	02/07/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490657	CMS
Mid-Atlantic Surgical Systems, LLC	$16.38	02/07/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490659	CMS
Mid-Atlantic Surgical Systems, LLC	$1,200.00	01/10/2022	Education	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490653	CMS
Mid-Atlantic Surgical Systems, LLC	$9.63	01/10/2022	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	896490655	CMS
Smith+Nephew, Inc.	$3,541.67	01/05/2022	Education	No dispute reported	Delay: No Change: CHANGED	06/30/2026	960978919	CMS

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2019	$150.00	1
PY2021	$22,119.57	28
PY2022	$21,930.34	28
PY2023	$15.44	1
PY2024	$120.65	1

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, 2021, 2022, 2023, 2024

Source files and profile matching

Source files: Dataset page · Bulk file · PY2019 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_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.