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

Covered recipient · General Payments record

JAMES A GERMANO

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1811048838
CMS profile
309406
Location
ROCKVILLE CENTRE, NY

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.

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Filter and download payment records

General Payments · PY2025 · Entire year

$106,012.71

79 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

Other CMS categories — not shown on this page

Research Payments

CMS also publishes Research Payments as a separate dataset. This site does not currently mirror it, and no research figure is shown on this page. This provider appears in that dataset.

“If you are a physician who served as a principal investigator on a research study, you may see the payments associated with that research study listed under your name. This does not necessarily mean the payments are attributed to you. The dollar amount of the record corresponds to the total payment; the amounts are not attributed to each individual on the record.”

— Centers for Medicare & Medicaid Services, Open Payments Frequently Asked Questions, FAQ #12224

Ownership and Investment Interests

CMS also publishes Ownership and Investment Interests as a separate dataset. This site does not currently mirror it, and no ownership figure is shown on this page. This provider appears in that dataset.

Ownership and investment interests are reported as the value of an interest held, not as a payment received. They are a different measure from the payment total on this page and are never combined with it.

These records are published by CMS and can be viewed on this provider’s official CMS record. View this provider on CMS Open Payments ↗

“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.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . 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 ↗

By nature of payment

PY2025 · entire year · sorted by reported total

Nature of paymentAmountRecords
Consulting Fee $92,362.02 24
Travel and Lodging $9,979.64 12
Food and Beverage $3,671.05 43

By paying entity

PY2025 · entire year · sorted by reported total

Paying entityAmountRecords
Medical Device Business Services, Inc. $57,041.50 23
Stryker Corporation $42,082.29 48
DePuy Synthes Products, Inc. $6,635.43 4
DePuy Synthes Sales Inc. $134.01 3
Heron Therapeutics, Inc. $119.48 1

Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

JAMES A GERMANO

NPI 1811048838 · CMS profile ID 309406

Allopathic & Osteopathic Physicians / Orthopaedic Surgery

ROCKVILLE CENTRE, NY

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.

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.

General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1811048838?year=2025&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain
JAMES A GERMANO, NPI 1811048838, CMS profile ID 309406. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1811048838?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
APA 7
IndustryPayments. (2026). JAMES A GERMANO, NPI 1811048838, CMS profile ID 309406. General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1811048838?year=2025&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e.
Bluebook
JAMES A GERMANO, NPI 1811048838, CMS profile ID 309406, IndustryPayments, General Payments, PY2025; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 2; records 1–50 of 79 matching records. This page contains 50 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/fb0b1734-1410-429d-92f6-3f4b35218e5e. https://industrypayments.org/provider/npi-1811048838?year=2025&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

Payment records · PY2025

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

General Payments · PY2025 · Physicians and non-physician practitioners · CMS publication 2026-06-30

79 matching records · $106,012.71 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 79 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 79.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Medical Device Business Services, Inc. $520.0011/21/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016582 CMS
Stryker Corporation $113.1011/15/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554672 CMS
Stryker Corporation $5,400.0011/07/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1227554668 CMS
Stryker Corporation $172.9310/30/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554664 CMS
Stryker Corporation $173.2810/25/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554659 CMS
Stryker Corporation $2,025.0010/24/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1227554649 CMS
Stryker Corporation $69.6410/24/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554655 CMS
Stryker Corporation $164.8710/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554645 CMS
Stryker Corporation $225.0010/17/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1227554640 CMS
Medical Device Business Services, Inc. $520.0010/13/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016544 CMS
Stryker Corporation $33.9510/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554632 CMS
Stryker Corporation $168.6710/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554636 CMS
Medical Device Business Services, Inc. $250.0010/09/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1174016531 CMS
Medical Device Business Services, Inc. $38.8110/09/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1174016600 CMS
Medical Device Business Services, Inc. $6,760.0010/09/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016612 CMS
Stryker Corporation $77.5210/07/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1227554627 CMS
Stryker Corporation $159.4110/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554618 CMS
Stryker Corporation $12.0210/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554623 CMS
Stryker Corporation $30.6210/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554610 CMS
Stryker Corporation $122.6010/02/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554614 CMS
Stryker Corporation $43.0209/12/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554606 CMS
Stryker Corporation $125.2009/10/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554602 CMS
Stryker Corporation $155.6609/05/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554598 CMS
Stryker Corporation $98.4808/31/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554593 CMS
Stryker Corporation $30.2008/27/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554589 CMS
Stryker Corporation $134.0308/18/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554585 CMS
Stryker Corporation $6,525.0008/14/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1227554581 CMS
Stryker Corporation $154.4908/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554574 CMS
Stryker Corporation $5.6908/07/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554578 CMS
Stryker Corporation $7,200.0007/11/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1227554569 CMS
Medical Device Business Services, Inc. $7,800.0007/07/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016519 CMS
Medical Device Business Services, Inc. $520.0007/07/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016594 CMS
DePuy Synthes Sales Inc. $115.8506/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1174180685 CMS
Stryker Corporation $4,950.0005/09/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1227554561 CMS
Stryker Corporation $2,700.0005/09/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1227554565 CMS
Stryker Corporation $177.7105/08/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1227554536 CMS
Stryker Corporation $139.6005/08/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1227554541 CMS
Stryker Corporation $225.0405/08/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1227554545 CMS
Stryker Corporation $12.9305/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554549 CMS
Stryker Corporation $21.6505/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554554 CMS
Stryker Corporation $27.6805/08/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554557 CMS
Heron Therapeutics, Inc. $119.4805/03/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1246244791 CMS
DePuy Synthes Sales Inc. $3.3805/01/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1174180638 CMS
DePuy Synthes Sales Inc. $14.7804/29/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1174180611 CMS
Stryker Corporation $1,114.9504/15/2025 Travel and Lodging No dispute reported Delay: No
Change: NEW
06/30/2026 1227554532 CMS
Medical Device Business Services, Inc. $1,040.0003/24/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016525 CMS
Medical Device Business Services, Inc. $1,560.0003/24/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016559 CMS
Medical Device Business Services, Inc. $780.0003/24/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016571 CMS
Medical Device Business Services, Inc. $1,040.0003/24/2025 Consulting Fee No dispute reported Delay: No
Change: NEW
06/30/2026 1174016607 CMS
Stryker Corporation $40.5803/23/2025 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/2026 1227554525 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $43,474.83 57
PY2020 $28,823.71 12
PY2021 $356,752.39 31
PY2022 $47,286.39 72
PY2023 $17,609.46 42
PY2024 $63,516.48 72
PY2025 $106,012.71 79

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 and profile matching
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.