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

JACOB F MARKEL

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1689133522
CMS profile
8803465
Location
GRAND RAPIDS, MI

General Payments · PY2020–2024

$4,856.62

  • Reported across 63 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,111.04

42 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
Food and Beverage $2,064.37 41
Travel and Lodging $46.67 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Stryker Corporation $1,179.32 30
Alpha Orthopedic Systems $445.01 4
Kerecis Limited $225.58 1
DePuy Synthes Sales Inc. $117.48 3
Zimmer Biomet Holdings, Inc. $54.02 1
Bone Support Inc. $33.02 1
Highridge Medical LLC $32.06 1
SI-BONE, INC. $24.55 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2020 $1,905.11 5
PY2021 $44.02 2
PY2022 $211.60 3
PY2023 $584.85 11
PY2024 $2,111.04 42

Payment records · PY2024 (42)

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

Program year 2024 2020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Alpha Orthopedic Systems $260.06 02/14/2024 Food and Beverage Undisputed 01/23/2026 1089078304 CMS
Alpha Orthopedic Systems $140.16 02/29/2024 Food and Beverage Undisputed 01/23/2026 1089078306 CMS
Alpha Orthopedic Systems $15.78 03/24/2024 Food and Beverage Undisputed 01/23/2026 1089078308 CMS
Alpha Orthopedic Systems $29.01 05/09/2024 Food and Beverage Undisputed 01/23/2026 1089078302 CMS
Bone Support Inc. $33.02 08/26/2024 Food and Beverage Undisputed 01/23/2026 1144155047 CMS
DePuy Synthes Sales Inc. $45.57 04/26/2024 Food and Beverage Undisputed 01/23/2026 1077856308 CMS
DePuy Synthes Sales Inc. $20.91 05/01/2024 Food and Beverage Undisputed 01/23/2026 1077856602 CMS
DePuy Synthes Sales Inc. $51.00 06/12/2024 Food and Beverage Undisputed 01/23/2026 1077856422 CMS
Highridge Medical LLC $32.06 11/20/2024 Food and Beverage Undisputed 01/23/2026 1149015570 CMS
Kerecis Limited $225.58 02/22/2024 Food and Beverage Undisputed 01/23/2026 1120100328 CMS
SI-BONE, INC. $24.55 05/08/2024 Food and Beverage Undisputed 01/23/2026 1120060385 CMS
Stryker Corporation $19.20 01/01/2024 Food and Beverage Undisputed 01/23/2026 1119905629 CMS
Stryker Corporation $24.13 01/02/2024 Food and Beverage Undisputed 01/23/2026 1119905631 CMS
Stryker Corporation $21.99 01/03/2024 Food and Beverage Undisputed 01/23/2026 1119905633 CMS
Stryker Corporation $23.43 01/08/2024 Food and Beverage Undisputed 01/23/2026 1119905635 CMS
Stryker Corporation $30.39 01/14/2024 Food and Beverage Undisputed 01/23/2026 1119905637 CMS
Stryker Corporation $20.85 01/16/2024 Food and Beverage Undisputed 01/23/2026 1119905639 CMS
Stryker Corporation $24.14 01/23/2024 Food and Beverage Undisputed 01/23/2026 1119905641 CMS
Stryker Corporation $80.26 01/29/2024 Food and Beverage Undisputed 01/23/2026 1119905643 CMS
Stryker Corporation $27.45 02/01/2024 Food and Beverage Undisputed 01/23/2026 1119905645 CMS
Stryker Corporation $18.91 02/06/2024 Food and Beverage Undisputed 01/23/2026 1119905647 CMS
Stryker Corporation $22.16 02/13/2024 Food and Beverage Undisputed 01/23/2026 1119905649 CMS
Stryker Corporation $25.39 02/21/2024 Food and Beverage Undisputed 01/23/2026 1119905651 CMS
Stryker Corporation $23.06 02/27/2024 Food and Beverage Undisputed 01/23/2026 1119905653 CMS
Stryker Corporation $6.50 02/29/2024 Food and Beverage Undisputed 01/23/2026 1119905655 CMS
Stryker Corporation $169.75 03/10/2024 Food and Beverage Undisputed 01/23/2026 1119905657 CMS
Stryker Corporation $27.76 03/21/2024 Food and Beverage Undisputed 01/23/2026 1119905659 CMS
Stryker Corporation $39.54 03/22/2024 Food and Beverage Undisputed 01/23/2026 1119905661 CMS
Stryker Corporation $13.82 03/27/2024 Food and Beverage Undisputed 01/23/2026 1119905663 CMS
Stryker Corporation $159.95 03/27/2024 Food and Beverage Undisputed 01/23/2026 1119905665 CMS
Stryker Corporation $120.41 04/03/2024 Food and Beverage Undisputed 01/23/2026 1119905667 CMS
Stryker Corporation $23.91 04/11/2024 Food and Beverage Undisputed 01/23/2026 1119905669 CMS
Stryker Corporation $27.24 04/14/2024 Food and Beverage Undisputed 01/23/2026 1119905671 CMS
Stryker Corporation $26.33 04/16/2024 Food and Beverage Undisputed 01/23/2026 1119905673 CMS
Stryker Corporation $4.12 04/25/2024 Food and Beverage Undisputed 01/23/2026 1119905675 CMS
Stryker Corporation $31.39 04/25/2024 Food and Beverage Undisputed 01/23/2026 1119905677 CMS
Stryker Corporation $20.53 05/14/2024 Food and Beverage Undisputed 01/23/2026 1119905679 CMS
Stryker Corporation $21.31 05/15/2024 Food and Beverage Undisputed 01/23/2026 1119905681 CMS
Stryker Corporation $46.67 06/03/2024 Travel and Lodging Undisputed 01/23/2026 1119905683 CMS
Stryker Corporation $22.65 06/04/2024 Food and Beverage Undisputed 01/23/2026 1119905685 CMS
Stryker Corporation $56.08 07/26/2024 Food and Beverage Undisputed 01/23/2026 1119905687 CMS
Zimmer Biomet Holdings, Inc. $54.02 02/13/2024 Food and Beverage Undisputed 01/23/2026 1155036702 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
2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.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.

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