Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

NATHANIEL KOUTLAS

Allopathic & Osteopathic Physicians Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery

NPI
1609439694
CMS profile
11422697
Location
ALCOA, TN

General Payments · PY2024

$5,468.29

  • Reported across 30 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$5,468.29

30 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

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Travel and Lodging $1,893.52 9
Grant $1,875.00 1
Food and Beverage $1,221.80 18
Education $477.97 2

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Smith & Nephew, Inc. $3,474.57 9
Stryker Corporation $1,646.60 16
Medical Device Business Services, Inc. $290.06 4
Bioventus LLC $57.06 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2024 $5,468.29 30

Payment records · PY2024 (30)

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

Program year 2024
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Bioventus LLC $57.06 08/13/2024 Food and Beverage Undisputed 01/23/2026 1137443558 CMS
Medical Device Business Services, Inc. $42.22 11/07/2024 Food and Beverage Undisputed 01/23/2026 1077783090 CMS
Medical Device Business Services, Inc. $19.53 11/07/2024 Food and Beverage Undisputed 01/23/2026 1077783092 CMS
Medical Device Business Services, Inc. $38.32 11/07/2024 Food and Beverage Undisputed 01/23/2026 1077783094 CMS
Medical Device Business Services, Inc. $189.99 11/16/2024 Education Undisputed 01/23/2026 1077783084 CMS
Smith+Nephew, Inc. $1,875.00 06/07/2024 Grant Undisputed 01/23/2026 1149615316 CMS
Smith+Nephew, Inc. $212.31 10/18/2024 Food and Beverage Undisputed 01/23/2026 1149615304 CMS
Smith+Nephew, Inc. $241.01 10/18/2024 Travel and Lodging Undisputed 01/23/2026 1149615308 CMS
Smith+Nephew, Inc. $260.97 10/18/2024 Travel and Lodging Undisputed 01/23/2026 1149615310 CMS
Smith+Nephew, Inc. $266.63 10/18/2024 Travel and Lodging Undisputed 01/23/2026 1149615312 CMS
Smith+Nephew, Inc. $8.27 10/19/2024 Food and Beverage Undisputed 01/23/2026 1149615300 CMS
Smith+Nephew, Inc. $96.69 10/19/2024 Food and Beverage Undisputed 01/23/2026 1149615302 CMS
Smith+Nephew, Inc. $225.71 10/19/2024 Travel and Lodging Undisputed 01/23/2026 1149615306 CMS
Smith+Nephew, Inc. $287.98 11/19/2024 Education Undisputed 01/23/2026 1149615314 CMS
Stryker Corporation $1.91 03/23/2024 Food and Beverage Undisputed 01/23/2026 1119882519 CMS
Stryker Corporation $17.53 03/25/2024 Food and Beverage Undisputed 01/23/2026 1119882521 CMS
Stryker Corporation $514.75 08/07/2024 Travel and Lodging Undisputed 01/23/2026 1119882523 CMS
Stryker Corporation $80.16 08/17/2024 Food and Beverage Undisputed 01/23/2026 1119882525 CMS
Stryker Corporation $25.86 08/20/2024 Travel and Lodging Undisputed 01/23/2026 1119882527 CMS
Stryker Corporation $281.10 08/31/2024 Travel and Lodging Undisputed 01/23/2026 1119882529 CMS
Stryker Corporation $171.19 08/31/2024 Food and Beverage Undisputed 01/23/2026 1119882531 CMS
Stryker Corporation $23.55 09/05/2024 Travel and Lodging Undisputed 01/23/2026 1119882533 CMS
Stryker Corporation $168.99 09/05/2024 Food and Beverage Undisputed 01/23/2026 1119882535 CMS
Stryker Corporation $53.94 09/06/2024 Travel and Lodging Undisputed 01/23/2026 1119882537 CMS
Stryker Corporation $26.79 10/30/2024 Food and Beverage Undisputed 01/23/2026 1119882539 CMS
Stryker Corporation $46.43 10/31/2024 Food and Beverage Undisputed 01/23/2026 1119882541 CMS
Stryker Corporation $66.26 11/01/2024 Food and Beverage Undisputed 01/23/2026 1119882543 CMS
Stryker Corporation $35.03 11/01/2024 Food and Beverage Undisputed 01/23/2026 1119882545 CMS
Stryker Corporation $14.17 11/09/2024 Food and Beverage Undisputed 01/23/2026 1119882547 CMS
Stryker Corporation $118.94 11/09/2024 Food and Beverage Undisputed 01/23/2026 1119882549 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2024
Source files
Dataset page · Bulk file · PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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