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

ADAM V METZLER

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1841489259
CMS profile
220077
Location
EDGEWOOD, KY

General Payments · PY2018–2024

$13,591.35

  • Reported across 165 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,018.80

26 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 $630.81 24
Travel and Lodging $387.99 2

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Smith & Nephew, Inc. $630.81 24
Arthrex, Inc. $387.99 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $2,719.28 16
PY2019 $3,741.20 16
PY2020 $1,508.09 15
PY2021 $324.45 21
PY2022 $3,234.63 32
PY2023 $1,044.90 39
PY2024 $1,018.80 26

Payment records · PY2024 (26)

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

Program year 2024 201820192020202120222023 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
Arthrex, Inc. $185.01 12/11/2024 Travel and Lodging Undisputed 01/23/2026 1146571261 CMS
Arthrex, Inc. $202.98 12/11/2024 Travel and Lodging Undisputed 01/23/2026 1146571263 CMS
Smith+Nephew, Inc. $28.01 01/07/2024 Food and Beverage Undisputed 01/23/2026 1149500225 CMS
Smith+Nephew, Inc. $27.29 01/19/2024 Food and Beverage Undisputed 01/23/2026 1149500221 CMS
Smith+Nephew, Inc. $29.44 01/30/2024 Food and Beverage Undisputed 01/23/2026 1149500231 CMS
Smith+Nephew, Inc. $33.14 03/06/2024 Food and Beverage Undisputed 01/23/2026 1149500239 CMS
Smith+Nephew, Inc. $33.84 03/10/2024 Food and Beverage Undisputed 01/23/2026 1149500241 CMS
Smith+Nephew, Inc. $24.51 03/16/2024 Food and Beverage Undisputed 01/23/2026 1149500217 CMS
Smith+Nephew, Inc. $27.64 04/08/2024 Food and Beverage Undisputed 01/23/2026 1149500223 CMS
Smith+Nephew, Inc. $35.19 04/21/2024 Food and Beverage Undisputed 01/23/2026 1149500243 CMS
Smith+Nephew, Inc. $19.13 05/16/2024 Food and Beverage Undisputed 01/23/2026 1149500205 CMS
Smith+Nephew, Inc. $19.84 05/29/2024 Food and Beverage Undisputed 01/23/2026 1149500207 CMS
Smith+Nephew, Inc. $38.61 06/19/2024 Food and Beverage Undisputed 01/23/2026 1149500245 CMS
Smith+Nephew, Inc. $29.18 06/20/2024 Food and Beverage Undisputed 01/23/2026 1149500229 CMS
Smith+Nephew, Inc. $31.07 07/02/2024 Food and Beverage Undisputed 01/23/2026 1149500233 CMS
Smith+Nephew, Inc. $22.40 07/23/2024 Food and Beverage Undisputed 01/23/2026 1149500215 CMS
Smith+Nephew, Inc. $20.02 08/05/2024 Food and Beverage Undisputed 01/23/2026 1149500209 CMS
Smith+Nephew, Inc. $32.93 08/17/2024 Food and Beverage Undisputed 01/23/2026 1149500237 CMS
Smith+Nephew, Inc. $12.18 09/04/2024 Food and Beverage Undisputed 01/23/2026 1149500199 CMS
Smith+Nephew, Inc. $32.25 09/16/2024 Food and Beverage Undisputed 01/23/2026 1149500235 CMS
Smith+Nephew, Inc. $25.71 09/20/2024 Food and Beverage Undisputed 01/23/2026 1149500219 CMS
Smith+Nephew, Inc. $28.42 09/27/2024 Food and Beverage Undisputed 01/23/2026 1149500227 CMS
Smith+Nephew, Inc. $18.84 10/19/2024 Food and Beverage Undisputed 01/23/2026 1149500203 CMS
Smith+Nephew, Inc. $22.38 11/23/2024 Food and Beverage Undisputed 01/23/2026 1149500213 CMS
Smith+Nephew, Inc. $17.50 12/12/2024 Food and Beverage Undisputed 01/23/2026 1149500201 CMS
Smith+Nephew, Inc. $21.29 12/27/2024 Food and Beverage Undisputed 01/23/2026 1149500211 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
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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