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

Reflects CMS Open Payments as of 2026-07-26T04:22:22Z. 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 ↗

Covered recipient · General Payments record

STEPHEN DOUGLAS BIGACH

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1629572359
CMS profile
5693371
Location
ALEXANDRIA, 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.

General Payments · PY2019–2025

  • CMS publication 2026-06-30

Latest program year · PY2025

$13,112.49

41 records · 0 disputed

“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.
  • Featured-page threshold (a presentation gate, not a judgment): (records>=3 OR total>=100) AND records>=2 AND NPI identity (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Grant $5,000.00 1
Travel and Lodging $2,805.22 9
Food and Beverage $2,722.27 30
Consulting Fee $2,585.00 1

By paying entity

PY2025 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $703.56 7
PY2020 $472.02 3
PY2021 $1,677.39 25
PY2022 $5,264.67 51
PY2023 $2,112.52 25
PY2024 $6,811.28 15
PY2025 $13,112.49 41

Payment records · PY2025 (41)

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

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
ORTHALIGN INC $107.60 12/18/2025 Food and Beverage No dispute reported 06/30/2026 1193373576 CMS
Medical Device Business Services, Inc. $2,585.00 12/17/2025 Consulting Fee No dispute reported 06/30/2026 1174024920 CMS
DePuy Synthes Sales Inc. $34.33 12/10/2025 Food and Beverage No dispute reported 06/30/2026 1174238411 CMS
Medical Device Business Services, Inc. $19.92 12/02/2025 Food and Beverage No dispute reported 06/30/2026 1174004590 CMS
OsteoCentric Technologies, Inc. $93.06 10/29/2025 Food and Beverage No dispute reported 06/30/2026 1243856815 CMS
Stryker Corporation $100.39 10/28/2025 Food and Beverage No dispute reported 06/30/2026 1227399477 CMS
ORTHALIGN INC $100.70 10/23/2025 Food and Beverage No dispute reported 06/30/2026 1193373574 CMS
DePuy Synthes Sales Inc. $120.66 09/09/2025 Food and Beverage No dispute reported 06/30/2026 1174238500 CMS
DePuy Synthes Sales Inc. $85.89 08/27/2025 Food and Beverage No dispute reported 06/30/2026 1174238481 CMS
Stryker Corporation $165.41 08/25/2025 Food and Beverage No dispute reported 06/30/2026 1227399474 CMS
Stryker Corporation $174.85 07/19/2025 Food and Beverage No dispute reported 06/30/2026 1227399470 CMS
Stryker Corporation $146.99 07/18/2025 Food and Beverage No dispute reported 06/30/2026 1227399467 CMS
Stryker Corporation $171.74 05/30/2025 Food and Beverage No dispute reported 06/30/2026 1227399459 CMS
Medical Device Business Services, Inc. $26.91 05/03/2025 Food and Beverage No dispute reported 06/30/2026 1174004658 CMS
Medical Device Business Services, Inc. $52.85 05/03/2025 Food and Beverage No dispute reported 06/30/2026 1174004703 CMS
Medical Device Business Services, Inc. $14.25 05/03/2025 Food and Beverage No dispute reported 06/30/2026 1174004756 CMS
Medical Device Business Services, Inc. $146.86 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1174004340 CMS
Medical Device Business Services, Inc. $28.48 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1174004350 CMS
Medical Device Business Services, Inc. $275.14 05/02/2025 Travel and Lodging No dispute reported 06/30/2026 1174004553 CMS
Medical Device Business Services, Inc. $246.97 05/02/2025 Travel and Lodging No dispute reported 06/30/2026 1174004761 CMS
Medical Device Business Services, Inc. $27.79 05/02/2025 Food and Beverage No dispute reported 06/30/2026 1174004852 CMS
Medical Device Business Services, Inc. $202.27 05/02/2025 Travel and Lodging No dispute reported 06/30/2026 1174004950 CMS
Smith+Nephew, Inc. $96.26 03/29/2025 Food and Beverage No dispute reported 06/30/2026 1242268757 CMS
Smith+Nephew, Inc. $132.08 03/29/2025 Food and Beverage No dispute reported 06/30/2026 1242268759 CMS
Smith+Nephew, Inc. $5.49 03/29/2025 Food and Beverage No dispute reported 06/30/2026 1242268761 CMS
Smith+Nephew, Inc. $613.33 03/28/2025 Travel and Lodging No dispute reported 06/30/2026 1242268755 CMS
Smith+Nephew, Inc. $217.76 03/28/2025 Food and Beverage No dispute reported 06/30/2026 1242268763 CMS
Smith+Nephew, Inc. $135.66 03/28/2025 Travel and Lodging No dispute reported 06/30/2026 1242268765 CMS
Smith+Nephew, Inc. $45.12 03/28/2025 Travel and Lodging No dispute reported 06/30/2026 1242268767 CMS
Smith+Nephew, Inc. $598.86 03/28/2025 Travel and Lodging No dispute reported 06/30/2026 1242268769 CMS
Medical Device Business Services, Inc. $29.75 03/22/2025 Food and Beverage No dispute reported 06/30/2026 1174004807 CMS
Medical Device Business Services, Inc. $7.76 03/22/2025 Food and Beverage No dispute reported 06/30/2026 1174004931 CMS
Medical Device Business Services, Inc. $26.15 03/22/2025 Food and Beverage No dispute reported 06/30/2026 1174005092 CMS
DePuy Synthes Sales Inc. $141.42 03/21/2025 Food and Beverage No dispute reported 06/30/2026 1174238400 CMS
Medical Device Business Services, Inc. $307.80 03/21/2025 Travel and Lodging No dispute reported 06/30/2026 1174004367 CMS
Medical Device Business Services, Inc. $380.07 03/21/2025 Travel and Lodging No dispute reported 06/30/2026 1174004468 CMS
MicroPort Orthopedics Inc $154.86 02/26/2025 Food and Beverage No dispute reported 06/30/2026 1182090117 CMS
Smith+Nephew, Inc. $45.85 02/10/2025 Food and Beverage No dispute reported 06/30/2026 1242268753 CMS
Zimmer Biomet Holdings, Inc. $103.34 01/31/2025 Food and Beverage No dispute reported 06/30/2026 1246881731 CMS
Medacta USA, Inc. $142.87 01/30/2025 Food and Beverage No dispute reported 06/30/2026 1242107083 CMS
Smith+Nephew, Inc. $5,000.00 01/21/2025 Grant No dispute reported 06/30/2026 1242268751 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.

Cite this record.

Plain
STEPHEN DOUGLAS BIGACH, NPI 1629572359. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1629572359.
APA 7
IndustryPayments. (2026). STEPHEN DOUGLAS BIGACH, NPI 1629572359 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1629572359
Bluebook
STEPHEN DOUGLAS BIGACH, NPI 1629572359, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1629572359.

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