James Nunley, MD
Orthopaedic Surgery · Durham, NCNPI 1700973310
Payments from drug & device makers
Across 630 payments — averaging $2645.02 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$116K
- Trimed, Inc.$23K
- Advita Ortho, LLC$13K
- Mirus, LLC$5K
- plus $8K from 19 others
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 | 49 | $116,452 |
| 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 |
How this compares
$1,666,360 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$4.2M
- Samuel AdamsDurham$3.3M
- Michael BolognesiDurham$2.5M
- Christopher BrownDurham$2.3M
- David MusanteDurham$2.2M
- Samuel WellmanDurham$1.3M
- James DeorioDurham$1.3M
- Richard MatherDurham$843K
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.