Has David Hulet, MD received payments from drug or device companies?

Yes. Drug and device makers reported $2,010 in general payments to David Hulet, MD across 24 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean David Hulet, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about David Hulet, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

David Hulet, MD

Hand Surgery · Spokane, WANPI 1841644630

Payments from drug & device makers

What this record shows

Arthrex accounts for 62.4% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2024 at $1,403 and has fallen 95.9% since, to $57 in 2025.

$2,010in general payments, 2019–2025

Across 24 payments — averaging $83.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Arthrex$1K
Axogen$412
Summit Surgical Corp.$148
Endo Pharmaceuticals Inc.$138
Vertex$57

What the payments were for

Travel & lodging$85543%
Food & beverage$1,15557%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

Company	Payments	Total
Arthrex	18	$1,255
Axogen	2	$412
Summit Surgical Corp.	1	$148
Endo Pharmaceuticals Inc.	1	$138
Vertex	2	$57

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

AVANCE NERVE GRAFT$317
XIAFLEX$138

How this compares

$2,010 in reported general payments places this provider in the 60th percentile of 75 hand surgery providers in Washington.

See all hand surgery providers in Washington →

Medicare billing

Part B allowed, 2024

$117,396

Medicare patients

190

Services billed

935

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

Drug	Claims	Cost to plans & patients
Oxycodone Hcl	67	$273
Tramadol Hcl	11	$20

Paid to pharmacies, not to this prescriber.

Other hand surgery in Spokane

Benjamin WellingSpokane$7K
Paul HornSpokane$2K
Bryce BarkerSpokane$1K
Thomas TrumbleBellevue$824K
Jerry HuangSeattle$428K
Mary ThayerBellevue$51K
Chelsea BoeSeattle$32K
Anthony LauderLongview$19K
Julie RobertsFederal Way$19K
Gregory ByrdOlympia$17K

See the full list for Washington →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
Identity: NPPES NPI Registry, July 2026.

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