Physician profile
James A Nunley
NPI 1700973310
$1,623,519.36
in general payments reported to CMS, 2019-2025
26 companies · $224K in 2025
The $224K reported for 2025 was more than what 98% of Orthopaedic Surgery providers received nationally (typical 2025 total: $569).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $245K · 2020: $138K · 2021: $242K · 2022: $292K · 2023: $228K · 2024: $255K · 2025: $224K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $469K · Consulting Fee: $193K · Travel and Lodging: $30K · Food and Beverage: $11K · Honoraria: $3,500 · Education: $22.61.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $468,597.14 |
| Consulting Fee | $193,446.40 |
| Travel and Lodging | $29,787.76 |
| Food and Beverage | $10,975.96 |
| Honoraria | $3,500.00 |
| Education | $22.61 |
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 |
|---|---|---|---|
| Exactech, INC. | $1,283,506.73 | 2019-2025 | |
| Treace Medical Concepts, INC. | $217,578.62 | 2019-2024 | |
| Vilex LLC | $73,611.00 | 2021-2022 | |
| Trimed, INC. | $23,386.10 | 2019-2024 | |
| Advita Ortho, LLC | $13,195.48 | 2025 | |
| Mirus, LLC | $4,500.00 | 2019-2022 | |
| In2bones USA, LLC | $2,746.65 | 2019 | |
| Heron Therapeutics, INC. | $2,174.24 | 2021 | |
| Paragon 28, INC. | $424.14 | 2019-2025 | Portfolio |
| Stryker Corporation | $302.06 | 2021-2024 | Bio4, Citrefix |
| Bioventus LLC | $266.96 | 2021-2024 | None |
| Linvatec Corporation | $262.46 | 2023-2025 | Biobrace 23mm, Hercules Suture Anchor System, Quantum |
| Medline Industries Lp | $259.82 | 2022-2024 | |
| Tricoast Surgical Solutions LLC | $204.42 | 2023-2025 | |
| Djo, LLC | $155.44 | 2021 |
Show all 26 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Medshape, INC. | $149.68 | 2024 | Dynanail |
| Acera Surgical, INC. | $129.25 | 2025 | Restrata Wound Matrix |
| Alafair Biosciences, INC. | $120.87 | 2025 | Versawrap |
| Orthofix Medical, INC. | $104.38 | 2025 | Physio-Stim |
| Carbofix Orthopedics INC | $95.81 | 2021 | |
| Depuy Synthes Sales INC. | $95.45 | 2021 | |
| Smith+Nephew, INC. | $89.01 | 2023 | Grafix Pl, Stravix |
| Next Science LLC | $52.33 | 2023 | Surgx, Blastx, Xperience |
| Axogen | $48.96 | 2022 | |
| Novastep INC. | $45.61 | 2022 | |
| Wright Medical Technology, INC. | $13.89 | 2019 |
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 James Nunley 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.