Ryan Nunley
Adult Reconstructive Orthopaedic Surgery · Saint Louis, MO
CMS Profile ID: 97667 · NPI: 1164568887
Total Disclosed General Payments
$725,789.43
General-payment records
114
CMS Program Year
2025
Most of this (about 64%) was royalty or license payments.
Higher than 97.4% of 1,079 PY2025 general-payment recipient profiles in Adult Reconstructive Orthopaedic Surgery.
Percentage rounded down to one decimal; tied totals are not counted as lower. Counts all CMS recipient profiles with a general-payment transaction and this primary specialty, including this provider. CMS specialty: Allopathic & Osteopathic Physicians|Orthopaedic Surgery|Adult Reconstructive Orthopaedic Surgery.
Payments by Type
| Payment Type | Amount |
|---|---|
| Royalty or License | $464,249.25 |
| Consulting Fee | $252,332.50 |
| Travel and Lodging | $7,009.79 |
| Food and Beverage | $2,197.89 |
Top Paying Companies
| Manufacturer / GPO | Amount |
|---|---|
| DePuy Synthes Products, Inc. | $326,737.75 |
| Medical Device Business Services, Inc. | $228,694.85 |
| Smith+Nephew, Inc. | $156,679.61 |
| Ethicon US, LLC | $5,400.00 |
| Ethicon Inc. | $5,005.00 |
| DePuy Synthes Sales Inc. | $3,272.22 |
Top contributing companies shown; smaller payers may be omitted.
These totals are computed from the official CMS Open Payments program-year 2025 general-payment
file. To see the full, authoritative record for this provider — including research payments and
line-item detail — look them up by exact NPI 1164568887 on the
official CMS Open Payments portal.
Verify this record with CMS
- Confirm the provider's exact NPI: 1164568887.
- Select program year 2025 and general payments in the CMS portal.
- Check individual payment records and their nature-of-payment categories.