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

KHALED A INSTRUM

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1891774097
CMS profile
1185693
Location
NORTH CONWAY, NH

General Payments · PY2018–2024

$3,626.54

  • Reported across 38 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$2,035.54

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
Travel and Lodging $1,152.22 1
Food and Beverage $883.32 11

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Zimmer Biomet Holdings, Inc. $1,979.46 10
Ethicon US, LLC $34.36 1
Smith & Nephew, Inc. $21.72 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $621.87 11
PY2019 $233.29 4
PY2020 $147.89 2
PY2021 $89.63 1
PY2022 $349.68 4
PY2023 $148.64 4
PY2024 $2,035.54 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
Ethicon US, LLC $34.36 07/23/2024 Food and Beverage Undisputed 01/23/2026 1077638794 CMS
Smith+Nephew, Inc. $21.72 03/22/2024 Food and Beverage Undisputed 01/23/2026 1149590993 CMS
Zimmer Biomet Holdings, Inc. $133.28 12/05/2024 Food and Beverage Undisputed 01/23/2026 1155013151 CMS
Zimmer Biomet Holdings, Inc. $181.55 12/06/2024 Food and Beverage Undisputed 01/23/2026 1155013155 CMS
Zimmer Biomet Holdings, Inc. $57.08 12/06/2024 Food and Beverage Undisputed 01/23/2026 1155013159 CMS
Zimmer Biomet Holdings, Inc. $132.29 12/06/2024 Food and Beverage Undisputed 01/23/2026 1155013161 CMS
Zimmer Biomet Holdings, Inc. $55.09 12/06/2024 Food and Beverage Undisputed 01/23/2026 1155013163 CMS
Zimmer Biomet Holdings, Inc. $83.78 12/06/2024 Food and Beverage Undisputed 01/23/2026 1155013167 CMS
Zimmer Biomet Holdings, Inc. $83.78 12/07/2024 Food and Beverage Undisputed 01/23/2026 1155013157 CMS
Zimmer Biomet Holdings, Inc. $3.43 12/07/2024 Food and Beverage Undisputed 01/23/2026 1155013165 CMS
Zimmer Biomet Holdings, Inc. $96.96 12/07/2024 Food and Beverage Undisputed 01/23/2026 1155013169 CMS
Zimmer Biomet Holdings, Inc. $1,152.22 12/30/2024 Travel and Lodging Undisputed 01/23/2026 1155013171 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

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.