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

JAMES G DISTEFANO

Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine

NPI
1942513882
CMS profile
269562
Location
ALAMEDA, CA

General Payments · PY2018–2024

$26,459.98

  • Reported across 140 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,157.24

20 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 $672.94 18
Travel and Lodging $484.30 2

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Arthrex, Inc. $484.30 2
EVOLUTION SURGICAL, INC $270.38 9
Miach Orthopaedics, Inc. $153.45 1
DePuy Synthes Sales Inc. $149.03 4
AXOGEN $60.19 2
Stryker Corporation $39.89 2

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $4,137.60 13
PY2019 $7,664.39 43
PY2020 $3,705.78 9
PY2021 $3,788.14 7
PY2022 $1,803.69 12
PY2023 $4,203.14 36
PY2024 $1,157.24 20

Payment records · PY2024 (20)

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. $181.98 10/28/2024 Travel and Lodging Undisputed 01/23/2026 1146513719 CMS
Arthrex, Inc. $302.32 10/28/2024 Travel and Lodging Undisputed 01/23/2026 1146513723 CMS
AXOGEN $22.24 05/11/2024 Food and Beverage Undisputed 01/23/2026 1143638033 CMS
AXOGEN $37.95 05/11/2024 Food and Beverage Undisputed 01/23/2026 1143638085 CMS
DePuy Synthes Sales Inc. $0.87 01/16/2024 Food and Beverage Undisputed 01/23/2026 1077804859 CMS
DePuy Synthes Sales Inc. $9.85 01/16/2024 Food and Beverage Undisputed 01/23/2026 1077804863 CMS
DePuy Synthes Sales Inc. $14.77 01/17/2024 Food and Beverage Undisputed 01/23/2026 1077804852 CMS
DePuy Synthes Sales Inc. $123.54 04/24/2024 Food and Beverage Undisputed 01/23/2026 1077804856 CMS
Evolution Surgical, Inc $13.48 02/19/2024 Food and Beverage Undisputed 01/23/2026 1120713728 CMS
Evolution Surgical, Inc $13.35 02/20/2024 Food and Beverage Undisputed 01/23/2026 1120713726 CMS
Evolution Surgical, Inc $145.48 02/20/2024 Food and Beverage Undisputed 01/23/2026 1120713732 CMS
Evolution Surgical, Inc $9.01 02/21/2024 Food and Beverage Undisputed 01/23/2026 1120713724 CMS
Evolution Surgical, Inc $27.20 02/21/2024 Food and Beverage Undisputed 01/23/2026 1120713730 CMS
Evolution Surgical, Inc $16.92 08/12/2024 Food and Beverage Undisputed 01/23/2026 1120713736 CMS
Evolution Surgical, Inc $17.26 09/12/2024 Food and Beverage Undisputed 01/23/2026 1120713734 CMS
Evolution Surgical, Inc $16.50 10/13/2024 Food and Beverage Undisputed 01/23/2026 1120713738 CMS
Evolution Surgical, Inc $11.18 12/10/2024 Food and Beverage Undisputed 01/23/2026 1120713722 CMS
Miach Orthopaedics, Inc. $153.45 11/19/2024 Food and Beverage Undisputed 01/23/2026 1101925654 CMS
Stryker Corporation $25.19 10/02/2024 Food and Beverage Undisputed 01/23/2026 1119815520 CMS
Stryker Corporation $14.70 12/06/2024 Food and Beverage Undisputed 01/23/2026 1119815522 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.