Covered recipient · General Payments record
DIRK A GOUGE
Allopathic & Osteopathic Physicians Orthopaedic Surgery
General Payments · PY2018–2024
$3,382.26
- Reported across 25 records
- CMS publication 2026-01-23
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 payment | Amount | Records |
|---|---|---|
| Travel and Lodging | $1,729.52 | 4 |
| Food and Beverage | $562.20 | 8 |
By paying entity
PY2024 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Smith & Nephew, Inc. | $2,272.05 | 11 |
| Sanara MedTech Inc. | $19.67 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2024 (12)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Sanara MedTech Inc. | $19.67 | 02/08/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1154923518 | CMS |
| Smith+Nephew, Inc. | $66.19 | 04/18/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1149478701 | CMS |
| Smith+Nephew, Inc. | $76.47 | 04/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149478705 | CMS |
| Smith+Nephew, Inc. | $87.06 | 04/18/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149478709 | CMS |
| Smith+Nephew, Inc. | $104.98 | 04/18/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1149478711 | CMS |
| Smith+Nephew, Inc. | $1,205.25 | 04/18/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1149478717 | CMS |
| Smith+Nephew, Inc. | $152.52 | 04/19/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149478713 | CMS |
| Smith+Nephew, Inc. | $12.50 | 04/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149478697 | CMS |
| Smith+Nephew, Inc. | $57.50 | 04/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149478699 | CMS |
| Smith+Nephew, Inc. | $73.98 | 04/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149478703 | CMS |
| Smith+Nephew, Inc. | $82.50 | 04/20/2024 | Food and Beverage | Undisputed | 01/23/2026 | 1149478707 | CMS |
| Smith+Nephew, Inc. | $353.10 | 04/21/2024 | Travel and Lodging | Undisputed | 01/23/2026 | 1149478715 | 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, 2022, 2023, 2024
- 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.
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