Physician profile
Julia Ann Vetter Nuelle
NPI 1144516634
$59,562.98
in general payments reported to CMS, 2019-2025
14 companies · $40K in 2025
The $40K reported for 2025 was more than what 98% of Surgery of The Hand (Surgery) providers received nationally (typical 2025 total: $285).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $409 · 2020: $2,219 · 2021: $2,175 · 2022: $3,877 · 2023: $7,952 · 2024: $2,645 · 2025: $40K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $39K · Travel and Lodging: $4,930 · Food and Beverage: $2,612 · Consulting Fee: $2,338 · Honoraria: $2,000 · Long Term Medical Supply Or Device Loan: $147.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $38,856.25 |
| Travel and Lodging | $4,929.56 |
| Food and Beverage | $2,612.35 |
| Consulting Fee | $2,337.50 |
| Honoraria | $2,000.00 |
| Long Term Medical Supply Or Device Loan | $146.68 |
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 |
|---|---|---|---|
| Arthrex, INC. | $46,969.62 | 2020-2025 | |
| Trimed, INC. | $7,953.01 | 2021-2023 | |
| Elite Orthopedics, LLC | $1,418.70 | 2021-2024 | |
| Medinc of Texas | $1,172.08 | 2020 | |
| Skeletal Dynamics INC | $498.64 | 2019-2021 | |
| Axogen | $469.77 | 2019-2025 | |
| Integra Lifesciences Corporation | $324.27 | 2022-2025 | Integra, Micromatrix, Integra Dermal Regeneration Template |
| Depuy Synthes Sales INC. | $246.03 | 2021-2022 | |
| Acumed LLC | $217.88 | 2019-2020 | |
| Stryker Corporation | $143.98 | 2019-2021 | |
| Checkpoint Surgical, INC | $71.95 | 2023 | Checkpoint Stimulators |
| Alafair Biosciences, INC. | $54.32 | 2019-2020 | |
| Medartis INC. | $22.73 | 2023 | Aptus |
1 company 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.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Julia Nuelle 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.