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

IAN C DUNCAN

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1982866927
CMS profile
45061
Location
VISALIA, CA

General Payments · PY2018–2024

$7,359.40

  • Reported across 125 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$1,076.65

15 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 $1,076.65 15

By paying entity

PY2024 · sorted by reported total

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,768.72 36
PY2019 $1,544.90 30
PY2020 $997.11 11
PY2021 $445.00 19
PY2022 $1,334.18 9
PY2023 $192.84 5
PY2024 $1,076.65 15

Payment records · PY2024 (15)

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
Avanos Medical $113.58 02/05/2024 Food and Beverage Undisputed 01/23/2026 1149305237 CMS
Avanos Medical $4.88 05/02/2024 Food and Beverage Undisputed 01/23/2026 1149305239 CMS
Avanos Medical $52.38 10/01/2024 Food and Beverage Undisputed 01/23/2026 1149305241 CMS
DePuy Synthes Sales Inc. $121.95 01/29/2024 Food and Beverage Undisputed 01/23/2026 1077814556 CMS
Ethicon US, LLC $36.81 09/10/2024 Food and Beverage Undisputed 01/23/2026 1077626152 CMS
Medical Device Business Services, Inc. $129.55 09/10/2024 Food and Beverage Undisputed 01/23/2026 1077761206 CMS
ORTHO DEVELOPMENT CORPORATION $67.53 06/02/2024 Food and Beverage Undisputed 01/23/2026 1154965458 CMS
Smith+Nephew, Inc. $94.20 11/19/2024 Food and Beverage Undisputed 01/23/2026 1149520114 CMS
Stryker Corporation $69.11 02/07/2024 Food and Beverage Undisputed 01/23/2026 1119818873 CMS
Stryker Corporation $48.30 08/21/2024 Food and Beverage Undisputed 01/23/2026 1119818875 CMS
Stryker Corporation $3.90 08/21/2024 Food and Beverage Undisputed 01/23/2026 1119818877 CMS
Stryker Corporation $20.18 11/20/2024 Food and Beverage Undisputed 01/23/2026 1119818879 CMS
Stryker Corporation $5.81 12/04/2024 Food and Beverage Undisputed 01/23/2026 1119818881 CMS
VERTEX PHARMACEUTICALS INCORPORATED $16.53 11/19/2024 Food and Beverage Undisputed 01/23/2026 1105919222 CMS
Zimmer Biomet Holdings, Inc. $291.94 09/04/2024 Food and Beverage Undisputed 01/23/2026 1155006183 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.

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