James Nunley, MD
Orthopaedic Surgery · Durham, NCNPI 1700973310
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (50.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Exactech, Inc. accounts for 79.1% of it on its own, with 24 other manufacturers making up the rest. Among orthopaedic surgery clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 614 payments — averaging $2644.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$1.3M
- Treace Medical Concepts, Inc.$218K
- Vilex LLC$74K
- Trimed, Inc.$23K
- Advita Ortho, LLC$13K
- Mirus, LLC$5K
- plus $8K from 19 others
Across 16 payments — averaging $2677.55 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Vilex LLC$43K
What the payments were for
- Royalty or licence$819,69050%
- Consulting fees$674,74542%
- Speaking & faculty fees$8,0000%
- Travel & lodging$98,8776%
- Food & beverage$22,1841%
- Education$230%
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 |
|---|---|---|
| Exactech, Inc. | 356 | $1,283,507 |
| Treace Medical Concepts, Inc. | 147 | $217,579 |
| Vilex LLC | 33 | $73,611 |
| Trimed, Inc. | 28 | $23,386 |
| Advita Ortho, LLC | 10 | $13,195 |
| Mirus, LLC | 5 | $4,500 |
| In2bones USA, LLC | 2 | $2,747 |
| Heron Therapeutics, Inc. | 3 | $2,174 |
| Paragon 28, Inc. | 4 | $424 |
| Stryker(2 entities) | 3 | $316 |
| Bioventus LLC | 5 | $267 |
| Linvatec Corporation | 2 | $262 |
| Medline Industries LP | 2 | $260 |
| Tricoast Surgical Solutions LLC | 3 | $204 |
| DJO, LLC | 1 | $155 |
| Medshape, Inc. | 1 | $150 |
| Acera Surgical, Inc. | 1 | $129 |
| Alafair Biosciences, Inc. | 1 | $121 |
| Orthofix Medical, Inc. | 1 | $104 |
| Carbofix Orthopedics Inc | 1 | $96 |
| Johnson & Johnson | 1 | $95 |
| Smith+Nephew | 1 | $89 |
| Next Science LLC | 1 | $52 |
| Axogen | 1 | $49 |
| Novastep Inc. | 1 | $46 |
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.
- VANTAGE$783,870
- EQUINOXE$446,534
- Lapiplasty System$215,647
- HINTERMANN$35,065
- DYNEX$22,048
- RD Soft Tissue$12,105
- ATLAS Plating System$4,500
- AURORA Screw System$4,500
- Tools - AFS$3,500
- EPIC FOOT PLATE SYSTEM$3,080
- Staple F&A Fixation$2,125
- Zynrelef$2,121
- CoLink$2,000
- Tools - WFS$1,966
- RD Patient Specific Instrumentation$1,490
- EXACTECHGPS$900
- BioBrace 23mm$262
- CITREFIX$173
- BIO4$173
- CHATTANOOGA$155
How this compares
$1,623,519 in reported general payments places this provider in the 95th percentile of 845 orthopaedic surgery providers in North Carolina.
Medicare billing
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.
Other orthopaedic surgery in Durham
- William JiranekDurham$6.4M
- Thomas VailDurham$5.7M
- Mark EasleyDurham$4M
- Michael BolognesiDurham$2.3M
- Christopher BrownDurham$2.3M
- Samuel AdamsDurham$1.8M
- James DeorioDurham$1.3M
- Richard MatherDurham$711K
- Marc RichardDurham$643K
- David RuchDurham$321K
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.