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

JACOB RYAN CARL

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1962822718
CMS profile
4220382
Location
SPOKANE, WA

General Payments · PY2018–2024

$7,232.96

  • Reported across 43 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,485.28

16 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 $1,241.70 3
Food and Beverage $243.58 13

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Arthrex, Inc. $1,059.70 14
OrthoPediatrics Corp. $387.00 1
Sawtooth Surgical Solutions Inc $38.58 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,099.33 4
PY2019 $35.44 1
PY2020 $1,244.59 5
PY2021 $522.34 2
PY2022 $1,200.00 1
PY2023 $1,645.98 14
PY2024 $1,485.28 16

Payment records · PY2024 (16)

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. $427.35 02/22/2024 Travel and Lodging Undisputed 01/23/2026 1146499359 CMS
Arthrex, Inc. $45.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1146499314 CMS
Arthrex, Inc. $45.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1146499318 CMS
Arthrex, Inc. $10.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1146499322 CMS
Arthrex, Inc. $10.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1146499326 CMS
Arthrex, Inc. $10.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1146499329 CMS
Arthrex, Inc. $10.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1146499333 CMS
Arthrex, Inc. $10.00 02/23/2024 Food and Beverage Undisputed 01/23/2026 1146499337 CMS
Arthrex, Inc. $427.35 02/23/2024 Travel and Lodging Undisputed 01/23/2026 1146499355 CMS
Arthrex, Inc. $5.00 02/24/2024 Food and Beverage Undisputed 01/23/2026 1146499310 CMS
Arthrex, Inc. $30.00 02/24/2024 Food and Beverage Undisputed 01/23/2026 1146499340 CMS
Arthrex, Inc. $10.00 02/24/2024 Food and Beverage Undisputed 01/23/2026 1146499344 CMS
Arthrex, Inc. $10.00 02/24/2024 Food and Beverage Undisputed 01/23/2026 1146499348 CMS
Arthrex, Inc. $10.00 02/24/2024 Food and Beverage Undisputed 01/23/2026 1146499352 CMS
OrthoPediatrics Corp. $387.00 02/15/2024 Travel and Lodging Undisputed 01/23/2026 1142165281 CMS
Sawtooth Surgical Solutions Inc $38.58 06/06/2024 Food and Beverage Undisputed 01/23/2026 1110850937 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.