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

RYAN A LEGRAND

Allopathic & Osteopathic Physicians Surgery

NPI
1568591329
CMS profile
71181
Location
CAPE GIRARDEAU, MO

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 · PY2023 · Entire year

$4,105.35

55 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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $3,309.31 35
Food and Beverage $796.04 20

By paying entity

PY2023 · entire year · sorted by reported total

Paying entityAmountRecords
Medtronic, Inc. $3,284.74 43
Intuitive Surgical, Inc. $803.95 11
Novo Nordisk Inc $16.66 1

Payment records · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

55 matching records · $4,105.35 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 55 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 55.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Novo Nordisk Inc $16.6610/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002506279 CMS
Intuitive Surgical, Inc. $26.0910/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055699613 CMS
Intuitive Surgical, Inc. $47.7910/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055854315 CMS
Intuitive Surgical, Inc. $15.5010/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055866583 CMS
Intuitive Surgical, Inc. $36.3510/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055973323 CMS
Intuitive Surgical, Inc. $209.9809/29/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055621081 CMS
Intuitive Surgical, Inc. $19.0009/28/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055547373 CMS
Intuitive Surgical, Inc. $19.0009/13/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055550395 CMS
Intuitive Surgical, Inc. $326.9809/13/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055952231 CMS
Intuitive Surgical, Inc. $19.0009/08/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055913607 CMS
Medtronic, Inc. $24.0007/12/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978251 CMS
Medtronic, Inc. $12.3207/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978259 CMS
Medtronic, Inc. $33.3607/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978189 CMS
Medtronic, Inc. $30.4007/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007537805 CMS
Medtronic, Inc. $121.0007/10/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978231 CMS
Medtronic, Inc. $17.1807/10/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978243 CMS
Medtronic, Inc. $94.0407/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978177 CMS
Medtronic, Inc. $103.0007/09/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978215 CMS
Medtronic, Inc. $14.6207/09/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978223 CMS
Medtronic, Inc. $183.0707/08/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007537813 CMS
Medtronic, Inc. $69.0007/08/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007537821 CMS
Medtronic, Inc. $116.5007/08/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978197 CMS
Medtronic, Inc. $16.5407/08/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978207 CMS
Medtronic, Inc. $32.3106/21/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978141 CMS
Medtronic, Inc. $318.9906/21/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978151 CMS
Medtronic, Inc. $279.0506/21/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978159 CMS
Medtronic, Inc. $42.3106/21/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978167 CMS
Intuitive Surgical, Inc. $27.9205/16/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055801593 CMS
Intuitive Surgical, Inc. $56.3403/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055586275 CMS
Medtronic, Inc. $171.4802/09/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978097 CMS
Medtronic, Inc. $362.0001/23/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978081 CMS
Medtronic, Inc. $48.8801/23/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978089 CMS
Medtronic, Inc. $44.5001/21/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007522789 CMS
Medtronic, Inc. $15.5901/21/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007522819 CMS
Medtronic, Inc. $6.4601/20/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007522803 CMS
Medtronic, Inc. $3.6001/20/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007522813 CMS
Medtronic, Inc. $50.0001/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007522827 CMS
Medtronic, Inc. $97.9601/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025977971 CMS
Medtronic, Inc. $18.4901/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025977981 CMS
Medtronic, Inc. $14.9801/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978007 CMS
Medtronic, Inc. $27.9501/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978071 CMS
Medtronic, Inc. $90.5001/19/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978123 CMS
Medtronic, Inc. $12.2201/19/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978133 CMS
Medtronic, Inc. $18.9401/18/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261007522795 CMS
Medtronic, Inc. $26.8101/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025977961 CMS
Medtronic, Inc. $9.1501/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025977991 CMS
Medtronic, Inc. $20.3201/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025977999 CMS
Medtronic, Inc. $133.6101/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978059 CMS
Medtronic, Inc. $90.5001/18/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978105 CMS
Medtronic, Inc. $12.2201/18/2023 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025978115 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $1,835.30 34
PY2020 $479.94 8
PY2021 $261.28 8
PY2022 $556.54 16
PY2023 $4,105.35 55
PY2024 $113.94 4
PY2025 $5,627.54 16

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
RYAN A LEGRAND, NPI 1568591329. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1568591329.
APA 7
IndustryPayments. (2026). RYAN A LEGRAND, NPI 1568591329 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1568591329
Bluebook
RYAN A LEGRAND, NPI 1568591329, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1568591329.

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