Physician profile
Pierce D Nunley
NPI 1417940750
$1,843,451.80
in general payments reported to CMS, 2019-2025
48 companies · $295K in 2025
The $295K reported for 2025 was more than what 99% of Orthopaedic Surgery providers received nationally (typical 2025 total: $569).
Payments by year
General and research payments by program year, as reported to CMS.
General payments by year: 2019: $266K · 2020: $258K · 2021: $390K · 2022: $187K · 2023: $227K · 2024: $220K · 2025: $295K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $678K · Consulting Fee: $40K · Food and Beverage: $9,517 · Travel and Lodging: $7,547 · Compensation For Serving As Faculty Or As A Speaker For A Medical Education Program: $6,000 · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $2,054 · Gift: $38.35.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $677,788.83 |
| Consulting Fee | $39,566.29 |
| Food and Beverage | $9,517.21 |
| Travel and Lodging | $7,547.36 |
| Compensation For Serving As Faculty Or As A Speaker For A Medical Education Program | $6,000.00 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $2,054.40 |
| Gift | $38.35 |
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. Research payments are listed separately below. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Stryker Corporation | $1,050,019.30 | 2019-2025 | Cascadia Interbody System, Optablate |
| Vb Spine LLC | $152,550.90 | 2025 | Cascadia Interbody System, Aleutian Interbody Systems, Ravine Lateral Access System |
| Spineology INC. | $98,387.31 | 2019-2025 | Optimesh Expandable Interbody Fusion System |
| Philadelphia Medical Management Company LLC | $90,741.18 | 2019-2021 | |
| Zimmer Biomet Holdings, INC. | $84,610.45 | 2019-2020 | |
| The Institute of Musculoskeletal Science and Education | $83,244.08 | 2019-2025 | Spira, Enza |
| Globus Medical, INC. | $60,524.99 | 2024-2025 | Vyrsa V1, Simplify Cervical Artificial Disc, Excelsiusgps Robotic Navigation System |
| Intrinsic Therapeutics | $48,987.68 | 2020-2023 | Barricaid Acd (Annular Closure Device) |
| Zimvie INC. | $43,705.87 | 2022-2023 | |
| Highridge Medical LLC | $23,741.96 | 2024-2025 | Roi-A, Mobi-C Plug & Fit US, Vital |
| Integrity Implants INC. | $23,556.25 | 2019-2022 | Toro |
| Integrity Implants INC. Dba Accelus | $16,907.30 | 2023-2024 | Linesider |
| Neo Spine USA, INC. | $14,316.28 | 2019-2022 | |
| Providence Medical Technology, INC. | $10,487.68 | 2021-2024 | |
| Centinel Spine, LLC | $9,829.87 | 2019-2023 | Prodisc C Sk |
Show all 43 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Kuros Biosciences USA, INC | $6,033.37 | 2019-2024 | Magnetos |
| Mirus, LLC | $5,103.68 | 2019-2021 | |
| Heron Therapeutics, INC. | $4,500.00 | 2024 | Zynrelef |
| Dymicron | $4,125.00 | 2021-2023 | Triadyme-C |
| Camber Spine Technologies LLC | $3,399.71 | 2019-2021 | |
| Theradaptive, INC. | $2,896.11 | 2025 | Osteoadapt |
| Spinal Elements, INC. | $2,002.52 | 2021-2025 | |
| Vertiflex, INC. | $1,250.00 | 2019 | |
| Medtronic, INC. | $672.21 | 2022-2025 | Aquamantys(Tm) |
| Carlsmed, INC. | $393.45 | 2023-2025 | Aprevo |
| Titan Spine, LLC | $175.43 | 2019 | |
| Boston Scientific Corporation | $167.17 | 2024 | |
| Nuvasive, INC. | $152.63 | 2021-2022 | |
| Spinal Simplicity, LLC | $151.47 | 2019 | |
| Surgalign Spine Technologies, INC. | $138.76 | 2021 | |
| Abbott Laboratories | $116.96 | 2019-2024 | Eterna |
| Mml US, INC. | $105.01 | 2023 | Reactiv8 |
| Silony Medical Corp. | $91.67 | 2019 | |
| Ebi, LLC | $74.72 | 2025 | |
| Depuy Synthes Sales INC. | $70.53 | 2021-2024 | Conduit, Acis Proti 360 Hl, X-Pac |
| Ethicon US, LLC | $50.80 | 2019-2024 | Surgiflo Hemostatic Matrix |
| Baxter Healthcare | $41.41 | 2020 | |
| Organogenesis INC. | $39.44 | 2019 | |
| Xtant Medical INC | $24.56 | 2025 | |
| Amgen INC. | $18.41 | 2019 | |
| Medtronic USA, INC. | $16.51 | 2020 | |
| Ets Wound Care LLC | $15.00 | 2023 | Mirragen Advanced Wound Matrix |
| Si-Bone, INC. | $14.17 | 2021 |
5 companies reported research payments only; those appear in the research section below.
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.
Research and ownership
$212,462.60 in research payments reported 2019-2025. Research payments are often institution-directed and tied to clinical trials: they are reported under a clinician's name but frequently go to a hospital or research organization, and usually reflect participation in medical research.
$636,487.50 in ownership or investment interests, as reported to CMS. These are holdings a clinician or an immediate family member has in a company, not payments received.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Pierce 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.