Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

THOMAS E SHULER

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1588638332
CMS profile
721678
Location
ROANOKE, VA

General Payments · PY2019–2025

$89,199.03

  • Reported across 97 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$10,053.52

10 records · 0 disputed

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 paymentAmountRecords
Royalty or License $9,899.97 8
Food and Beverage $153.55 2

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Globus Medical, Inc. $9,899.97 8
AXOGEN $107.14 1
Stryker Corporation $46.41 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $7,356.91 10
PY2020 $1,012.50 3
PY2021 $11,025.08 13
PY2022 $15,883.38 20
PY2023 $27,949.71 27
PY2024 $15,917.93 14
PY2025 $10,053.52 10

Payment records · PY2025 (10)

Sorted by paying entity, then date · as published by CMS

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AXOGEN $107.14 03/20/2025 Food and Beverage Undisputed 06/30/2026 1253460852 CMS
Globus Medical, Inc. $1,762.00 01/08/2025 Royalty or License Undisputed 06/30/2026 1250049195 CMS
Globus Medical, Inc. $188.61 01/08/2025 Royalty or License Undisputed 06/30/2026 1250063120 CMS
Globus Medical, Inc. $203.55 03/21/2025 Royalty or License Undisputed 06/30/2026 1250069914 CMS
Globus Medical, Inc. $2,248.57 03/21/2025 Royalty or License Undisputed 06/30/2026 1250105065 CMS
Globus Medical, Inc. $295.22 06/08/2025 Royalty or License Undisputed 06/30/2026 1250042145 CMS
Globus Medical, Inc. $2,205.29 06/08/2025 Royalty or License Undisputed 06/30/2026 1250098023 CMS
Globus Medical, Inc. $375.10 10/14/2025 Royalty or License Undisputed 06/30/2026 1250105067 CMS
Globus Medical, Inc. $2,621.63 10/14/2025 Royalty or License Undisputed 06/30/2026 1250119024 CMS
Stryker Corporation $46.41 04/21/2025 Food and Beverage Undisputed 06/30/2026 1227913595 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

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.