Pierce Nunley, MD
Orthopaedic Surgery · Shreveport, LANPI 1417940750
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,487,441 of the $1,843,452 with a category attached, or 80.7%. 40 manufacturers reported payments, led by Stryker at 57.0% of the total. Among orthopaedic surgery clinicians in LA 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 353 payments — averaging $5222.24 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1.1M
- VB Spine LLC$153K
- Spineology Inc.$98K
- Philadelphia Medical Management Company LLC$91K
- Zimmer Biomet$85K
- The Institute Of Musculoskeletal Science And Education$83K
- plus $284K from 34 others
Across 543 payments — averaging $4033.41 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.
- Centinel Spine, LLC$651K
- Providence Medical Technology, Inc.$479K
- Spineology Inc.$299K
- Globus Medical$268K
- Pfizer$137K
- Intrinsic Therapeutics$131K
- plus $223K from 8 others
Across 7 payments — averaging $33.93 each. An ownership or investment interest held by the physician or an immediate family member.
- Spineology Inc.$238
What the payments were for
- Royalty or licence$1,487,44181%
- Consulting fees$234,44013%
- Speaking & faculty fees$57,9513%
- Travel & lodging$46,3423%
- Food & beverage$16,5871%
- Gifts$6910%
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.
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.
- CASCADIA INTERBODY SYSTEM$954,643
- CASCADIA$228,914
- ROI-A$151,807
- Rampart Duo Interbody Fusion System$63,723
- Vyrsa V1$51,226
- Barricaid Annular Closure Device$34,022
- Enza 2.0$26,639
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$24,623
- Toro$20,534
- DUO TI EXPANDABLE INTERBODY FUSION SYSTEM$20,009
- Spira$19,737
- LineSider$18,209
- Neo Pedicle Screw System$13,940
- ALEUTIAN INTERBODY SYSTEMS$10,694
- PRODISC C SK$9,607
- Rampart Duo Ti Interbody Fusion System$8,616
- Simplify Cervical Artificial Disc$6,988
- Enza$5,537
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$5,205
- EUROPA Pedicle Screw System$5,089
How this compares
$1,843,452 in reported general payments places this provider in the 95th percentile of 286 orthopaedic surgery providers in Louisiana.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Alprazolam | 11 | $6 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Shreveport
- Steven AtchisonShreveport$170K
- Timothy TalbertShreveport$68K
- Mark CallananShreveport$39K
- Michael NammourShreveport$38K
- Eubulus KerrShreveport$33K
- Massimo MorandiShreveport$28K
- John GoogeShreveport$20K
- Christopher CaldwellShreveport$17K
- Christopher HarrodBaton Rouge$3M
- Vinod DasaKenner$1.9M
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.