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

THOMAS J SYLVESTER

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1972764561
CMS profile
1159917
Location
CREVE COEUR, MO

General Payments · PY2018–2024

$4,074.14

  • Reported across 57 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,390.63

13 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 $703.45 10
Travel and Lodging $687.18 3

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Centinel Spine, LLC $902.77 5
DePuy Synthes Sales Inc. $155.04 3
Globus Medical, Inc. $154.21 1
Medtronic, Inc. $96.51 1
Sanara MedTech Inc. $53.82 2
Stryker Corporation $28.28 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $276.36 6
PY2021 $1,176.01 16
PY2022 $629.63 10
PY2023 $601.51 12
PY2024 $1,390.63 13

Payment records · PY2024 (13)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018202120222023 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
Centinel Spine, LLC $35.00 03/12/2024 Travel and Lodging Undisputed 01/23/2026 1133893018 CMS
Centinel Spine, LLC $491.20 03/12/2024 Travel and Lodging Undisputed 01/23/2026 1133893026 CMS
Centinel Spine, LLC $160.98 04/06/2024 Travel and Lodging Undisputed 01/23/2026 1133893024 CMS
Centinel Spine, LLC $77.83 04/12/2024 Food and Beverage Undisputed 01/23/2026 1133893020 CMS
Centinel Spine, LLC $137.76 04/12/2024 Food and Beverage Undisputed 01/23/2026 1133893022 CMS
DePuy Synthes Sales Inc. $96.29 04/25/2024 Food and Beverage Undisputed 01/23/2026 1077865565 CMS
DePuy Synthes Sales Inc. $39.50 05/01/2024 Food and Beverage Undisputed 01/23/2026 1077865581 CMS
DePuy Synthes Sales Inc. $19.25 06/20/2024 Food and Beverage Undisputed 01/23/2026 1077865561 CMS
Globus Medical, Inc. $154.21 03/08/2024 Food and Beverage Undisputed 01/23/2026 1145017433 CMS
Medtronic, Inc. $96.51 04/16/2024 Food and Beverage Undisputed 01/23/2026 1119575065 CMS
Sanara MedTech Inc. $17.96 07/03/2024 Food and Beverage Undisputed 01/23/2026 1154923564 CMS
Sanara MedTech Inc. $35.86 08/01/2024 Food and Beverage Undisputed 01/23/2026 1154923566 CMS
Stryker Corporation $28.28 07/30/2024 Food and Beverage Undisputed 01/23/2026 1119994074 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, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , 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.

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