NATHAN WINKLER
Allopathic & Osteopathic Physicians|Surgery HOLLAND, MI NPI 1780179903
Browse related groups: Allopathic & Osteopathic Physicians|Surgery MI INTUITIVE SURGICAL, INC. All categories
General Payments — all program years on this page
$3,227.47
- Category: General Payments
- Program years: PY2022–2023
- Record count: 5
- As of (CMS publication): 2026-01-23
Latest program year (PY2023): $3,105.08 across 4 records · disputed records: 0
Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.
How this figure is 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
Latest program year (PY2023) · sorted by reported total.
| Nature of payment | Amount | Records |
|---|---|---|
| Education | $3,000.00 | 1 |
| Food and Beverage | $105.08 | 3 |
By paying entity
Latest program year (PY2023) · sorted by reported total.
| Paying entity | Amount | Records |
|---|---|---|
| INTUITIVE SURGICAL, INC. | $3,030.88 | 3 |
| W. L. Gore & Associates, Inc. | $74.20 | 1 |
By program year
Records — PY2023 (4)
| Record ID | Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Source |
|---|---|---|---|---|---|---|---|
| 1054237609 | W. L. Gore & Associates, Inc. | $74.20 | 05/01/2023 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1055435673 | Intuitive Surgical, Inc. | $24.67 | 07/11/2023 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1055466467 | Intuitive Surgical, Inc. | $6.21 | 09/19/2023 | Food and Beverage | Undisputed | 01/23/2026 | View at CMS |
| 1055467095 | Intuitive Surgical, Inc. | $3,000.00 | 08/31/2023 | Education | Undisputed | 01/23/2026 | View at CMS |
Provenance & corrections
- Dataset: CMS Open Payments — General Payments
- Source: CMS Open Payments dataset (bulk file)
- Publisher of source data: Centers for Medicare & Medicaid Services
- Generated from: OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv
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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.