Jerome Dunklin, MD
Orthopaedic Surgery · Fresno, CANPI 1063403442
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (42.1%), food and beverage and gifts — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Sequoia Surgical, Inc. at 43.3% of the total. Reporting peaked in 2019 at $1,916 and has fallen 98.0% since, to $38 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in CA, where the typical reported total is $2,444.
Across 32 payments — averaging $76.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sequoia Surgical, Inc.$1K
- Stryker$740
- Pacira Therapeutics, Inc.$145
- Sanofi-aventis U.S. LLC$134
- Smith+Nephew$106
- Bioventus LLC$92
- plus $178 from 5 others
Across 4 payments — averaging $12,500 each. An ownership or investment interest held by the physician or an immediate family member.
- Lazurite Inc.$50K
What the payments were for
- Food & beverage$72429%
- Education$1,03542%
- Gifts$70229%
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 |
|---|---|---|
| Sequoia Surgical, Inc. | 2 | $1,066 |
| Stryker(2 entities) | 3 | $740 |
| Pacira Therapeutics, Inc. | 7 | $145 |
| Sanofi-aventis U.S. LLC | 5 | $134 |
| Smith+Nephew | 3 | $106 |
| Bioventus LLC | 4 | $92 |
| Ferring Pharmaceuticals Inc. | 4 | $67 |
| Cornerstone Medical Associates, Inc. | 1 | $36 |
| Fidia Pharma USA Inc. | 1 | $30 |
| Pacira Pharmaceuticals Incorporated | 1 | $27 |
| Pfizer | 1 | $17 |
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.
- Ascend Flex$702
How this compares
$2,461 in reported general payments places this provider in the 50th percentile of 1,808 orthopaedic surgery providers in California.
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 Fresno
- Connor TellesFresno$1M
- Julia LeeFresno$458K
- Bradford HackArcadia$18.3M
- Robert GorabOrange$13.6M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Nirav AminPlacentia$5.6M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
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.