Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

James Nunley

Orthopaedic Surgery Durham, NC Medical Doctor

NPI 1700973310 CMS profile 77066

1000 Trent Dr, Durham, NC 27710

Open in the dashboard

General payments

$1,623,519

614 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$0

None reported

Research they led as principal investigator

$42,841 paid to institutions, not to them · program years 2023–2025

Through program year 2025, James Nunley of Durham, NC is reported in the CMS Open Payments database as having received $1,623,519 across 614 general payments and $0 in research payments paid to them. Separately, studies naming them as principal investigator received $42,841 in research payments, paid to institutions rather than to them.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them. The principal-investigator line is research money paid to institutions for studies they led — not to them — and is not added to anything either.

General payments for this record sit in the 98th percentile of Orthopaedic Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $223,572 63
2024 General $255,140 70
2023 General $227,618 67
2022 General $292,205 107
2021 General $242,331 124
2020 General $137,998 64
2019 General $244,656 119

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • James Nunley
  • Orthopaedic Surgery median
  • Middle half of Orthopaedic Surgery
  • National median

In program year 2025, general payments to James Nunley were reported at $223,572. Among 15,343 Orthopaedic Surgery profiles paid that year, the median was $563 and the middle half received between $147 and $2,717.

Show as a table
Year James Nunley Orthopaedic Surgery median Middle half National median
2019 $244,656 $644 $140–$2,844 $163
2020 $137,998 $312 $75–$1,860 $114
2021 $242,331 $520 $117–$2,495 $132
2022 $292,205 $598 $128–$2,731 $149
2023 $227,618 $461 $128–$2,264 $160
2024 $255,140 $497 $134–$2,475 $164
2025 $223,572 $563 $147–$2,717 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Exactech, Inc. $1,283,507 356 payments
  2. Treace Medical Concepts, Inc. $217,579 147 payments
  3. Vilex in Tennessee, Inc. $73,611 33 payments
  4. TriMed, Inc. $23,386 28 payments
  5. Advita Ortho, LLC $13,195 10 payments
  6. MiRus, LLC $4,500 5 payments
  7. In2Bones USA, LLC $2,747 2 payments
  8. Heron Therapeutics, Inc. $2,174 3 payments
  9. Paragon 28, Inc. $424 4 payments
  10. Stryker Corporation $302 2 payments
  11. Other $2,094 24 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Royalty or License $819,690 26 payments
  2. Consulting Fee $674,745 207 payments
  3. Travel and Lodging $98,877 178 payments
  4. Food and Beverage $22,184 199 payments
  5. Honoraria $5,500 2 payments
  6. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $2,500 1 payment
  7. Education $23 1 payment
Products named General payments · program years 2019–2025
  1. VANTAGE Orthopaedic $580,643 108 payments
  2. EQUINOXE Orthopaedic $435,175 112 payments
  3. VANTAGE Orthopaedic $191,945 34 payments
  4. Lapiplasty System Y $117,835 95 payments
  5. LAPIPLASTY SYSTEM Foot And Ankle $99,744 52 payments
  6. HINTERMANN $35,065 3 payments
  7. DYNEX $22,048 6 payments
  8. VANTAGE Orthopaedic $13,971 61 payments
  9. RD Soft Tissue $12,105 3 payments
  10. Equinoxe Orthopaedic $12,094 10 payments
  11. Other $30,780 85 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Billing to Medicare

Part B · data year 2024 · 33 billing codes

Paid by Medicare

$12,583

Medicare's payments for the services billed

Medicare patients

119

Average age 73

Services billed

266

65 women, 54 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
Arthritis 75%
High blood pressure 66%
Ischemic heart disease 21%
Diabetes 18%
Atrial fibrillation 18%
Chronic kidney disease 18%
Depression 16%
Osteoporosis 15%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Records

614 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Orthopaedic Surgery in North Carolina

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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