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

KRISTOPHER L DOWNING

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1851451439
CMS profile
356090
Location
LA JOLLA, CA

General Payments · PY2018–2024

$173,198.02

  • Reported across 136 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$705.00

12 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 $705.00 12

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Stryker Corporation $196.62 2
KLS-Martin L.P. $147.01 1
Elevate Surgical CO $89.89 1
Smith & Nephew, Inc. $88.57 2
ILLUMINOSS MEDICAL, INC. $65.52 2
Skeletal Dynamics Inc $57.94 1
Nevro Corp. $22.11 1
Bioventus LLC $19.94 1
Endo USA, Inc. $17.40 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $4,032.29 19
PY2019 $7,637.45 27
PY2020 $97.47 5
PY2021 $152,907.93 21
PY2022 $3,446.16 16
PY2023 $4,371.72 36
PY2024 $705.00 12

Payment records · PY2024 (12)

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
Bioventus LLC $19.94 02/28/2024 Food and Beverage Undisputed 01/23/2026 1137439506 CMS
Elevate Surgical CO $89.89 08/21/2024 Food and Beverage Undisputed 01/23/2026 1120629044 CMS
Endo USA, Inc. $17.40 07/24/2024 Food and Beverage Undisputed 01/23/2026 1138579835 CMS
ILLUMINOSS MEDICAL, INC. $32.07 01/23/2024 Food and Beverage Undisputed 01/23/2026 1154925231 CMS
ILLUMINOSS MEDICAL, INC. $33.45 11/29/2024 Food and Beverage Undisputed 01/23/2026 1154925229 CMS
KLS-Martin L.P. $147.01 04/11/2024 Food and Beverage Undisputed 01/23/2026 1144947987 CMS
Nevro Corp. $22.11 02/16/2024 Food and Beverage Undisputed 01/23/2026 1130772234 CMS
Skeletal Dynamics Inc $57.94 08/06/2024 Food and Beverage Undisputed 01/23/2026 1082481137 CMS
Smith+Nephew, Inc. $45.76 08/04/2024 Food and Beverage Undisputed 01/23/2026 1149541705 CMS
Smith+Nephew, Inc. $42.81 11/21/2024 Food and Beverage Undisputed 01/23/2026 1149541703 CMS
Stryker Corporation $171.69 01/09/2024 Food and Beverage Undisputed 01/23/2026 1119817925 CMS
Stryker Corporation $24.93 02/06/2024 Food and Beverage Undisputed 01/23/2026 1119817927 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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