Has Ryan Nunley, MD received payments from drug or device companies?

Yes. Drug and device makers reported $4,626,802 in general payments to Ryan Nunley, MD across 924 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 Ryan Nunley, 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 Ryan Nunley, 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.

Ryan Nunley, MD

Adult Reconstructive Orthopaedic Surgery · Saint Louis, MONPI 1164568887

Payments from drug & device makers

$4,626,802in general payments, 2019–2025

Across 924 payments — averaging $5007.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medical Device Business Services, Inc.$1.4M
Depuy Synthes Products, Inc.$1.2M
Smith+Nephew$897K
Stryker$668K
Johnson & Johnson$349K
Ethicon Endo-surgery Inc.$66K
plus $111K from 7 others

What the payments were for

Royalty or licence$1,926,60449%
Consulting fees$1,841,24547%
Speaking & faculty fees$82,4652%
Travel & lodging$83,6582%
Food & beverage$10,6020%

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
Medical Device Business Services, Inc.	518	$1,361,381
Depuy Synthes Products, Inc.	137	$1,175,094
Smith+Nephew	35	$896,980
Stryker	45	$667,650
Johnson & Johnson(3 entities)	149	$348,826
Ethicon Endo-surgery Inc.	2	$65,835
Microport Orthopedics Inc	13	$57,476
Medtronic(2 entities)	17	$49,604
Heron Therapeutics, Inc.	3	$3,122
Synthes GmbH	1	$500
Medacta USA, Inc.	1	$141
Exactech, Inc.	1	$100
Biocomposites Inc	2	$93

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.

ATTUNE$2,366,182
NAVIO$855,510
Velys$365,014
REAL INTELLIGENCE$356,189
STRATAFIX$348,436
DERMABOND Portfolio$185,323
ACTIS$69,427
DERMABOND PRINEO$65,835
MPO Hip System$57,460
MONOCRYL$55,110
AQUAMANTYS$49,530
SURGIFLO Hemostatic Matrix$45,760
BIRMINGHAM HIP$36,725
ECHELON ENDOPATH$25,204
Echelon Flex$25,204
Enseal X1$25,204
Echelon Circular$25,204
SURGIFLO Hemostatic Matrix Family of Products$18,948
Prineo 42$16,446
DERMABOND$16,246

How this compares

$4,626,802 in reported general payments places this provider in the 95th percentile of 36 adult reconstructive orthopaedic surgery providers in Missouri.

See all adult reconstructive orthopaedic surgery providers in Missouri →

Medicare billing

Part B allowed, 2024

$621,054

Medicare patients

1,010

Services billed

6,469

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
EliquisApixaban	55	$31,266
Doxycycline Hyclate	91	$7,189
Mupirocin	527	$3,348
Oxycodone Hcl	265	$1,542
Vitamin D2Ergocalciferol (Vitamin D2)	106	$1,430
Meloxicam	481	$1,323
Tramadol Hcl	359	$1,222
Doxycycline Monohydrate	12	$1,025
Cefadroxil	41	$772
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	29	$467
Amoxicillin	404	$461
Diclofenac Sodium	22	$435
Prednisone	108	$346
Cyclobenzaprine Hcl	35	$264
Cephalexin	21	$243

Paid to pharmacies, not to this prescriber.

Other adult reconstructive orthopaedic surgery in Saint Louis

Robert BarrackSaint Louis$10.8M
John ClohisySaint Louis$1.1M
Ilya BendichSaint Louis$443K
Kimberly BartosiakSaint Louis$146K
Muyibat AdelaniSaint Louis$71K
Andrew SchneiderSaint Louis$49K
Parth VyasSaint Louis$47K
Katherine MistrettaSaint Louis$41K
Gireesh ReddySaint Louis$18K
Joseph GibianSaint Louis$13K

See the full list for Missouri →

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.

Is this you, or does something look wrong? →