Physician profile
Paulvalery Roulette
NPI 1639431885
$13,417.79
in general payments reported to CMS, 2019-2025
20 companies · $275 in 2025
The $275 reported for 2025 was more than what a typical Hand Surgery provider received nationally (typical 2025 total: $270).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $5,924 · 2020: $1,281 · 2021: $403 · 2022: $3,060 · 2023: $1,935 · 2024: $541 · 2025: $275.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $1,793 · Travel and Lodging: $957.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $1,793.24 |
| Travel and Lodging | $956.91 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Peerless Surgical INC. | $5,718.69 | 2019-2023 | |
| Liberty Surgical INC. | $1,749.00 | 2019 | |
| Axogen | $1,062.50 | 2019-2024 | Avance Nerve Graft, Axoguard Ha+ Nerve Protector, Axoguard Nerve Protector |
| Acumed LLC | $837.51 | 2019-2024 | Acumed, Arcphix System, Innate Implant |
| Wright Medical Technology, INC. | $833.18 | 2019 | |
| Integra Lifesciences Corporation | $725.92 | 2019 | |
| Arthrex, INC. | $556.16 | 2023 | |
| Skeletal Dynamics INC | $500.73 | 2023-2025 | Geminus, Ijs, Implate |
| Trimed, INC. | $368.46 | 2019-2023 | |
| Arthrosurface Incorporated | $181.32 | 2019 | |
| Zimmer Biomet Holdings, INC. | $125.52 | 2019 | |
| Astrazeneca Pharmaceuticals LP | $121.84 | 2025 | Saphnelo |
| Endo Pharmaceuticals INC. | $120.78 | 2021 | |
| Trice Medical, INC. | $120.00 | 2023 | |
| Linvatec Corporation | $117.66 | 2019 |
Show all 20 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Depuy Synthes Sales INC. | $109.64 | 2019 | |
| Checkpoint Surgical, INC | $65.93 | 2019 | |
| Medartis INC. | $55.92 | 2023 | Aptus |
| Stryker Corporation | $31.88 | 2025 | T2 |
| Boston Scientific Corporation | $15.15 | 2025 | Wavewriter Alpha Prime 16 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Paulvalery Roulette listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.