Dr. Ryan M. Nunley, MD
Joint Replacement Surgery (Adult Reconstructive Orthopaedic Surgery Physician)
4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a
Saint Louis, MO 63110
- Medicare participating
At a glance
- Medical school
- University of North Carolina at Chapel Hill School of Medicine (2002)
- Years since graduation
- 24
- In the NPI registry since
- 2007
- Medicare patients seen, 2024
- 1,010
The NPI date is when this clinician registered for a National Provider Identifier, the billing number used on health claims. It is not a license, graduation or board-certification date. NPIs were first issued in May 2005 and became required on claims in 2007–2008, so an early date usually means the clinician was already in practice before then. What an NPI is
Education and training
- 2002Medical school: University of North Carolina at Chapel Hill School of Medicine
- 2007Registered with an NPI (national billing number; not a license date) — NPIs began in 2005, so practice likely started earlier
Undergraduate school, residency, fellowship, licensing exams and board certification aren’t in public federal data. Board certification can be confirmed with the certifying board (ABMS member boards for MDs, AOA boards for DOs).
Specialties and state licenses
-
Adult Reconstructive Orthopaedic Surgery Physician primary
MO license 2007006890
As reported to the NPI registry. To confirm a license is current, check the state medical board.
Where they work
Hospitals
- Barnes Jewish Hospital Saint Louis, MO
- Missouri Baptist Medical Center Saint Louis, MO
- Barnes-Jewish West County Hospital Creve Coeur, MO
- St Lukes Hospital Chesterfield, MO
- Progress West Hospital Ofallon, MO
Medical groups
- Washington University (3,029 clinicians)
- Select Physical Therapy Holdings Inc (2,024 clinicians)
- Aging Well Health Care, LLC (238 clinicians)
- Physical Therapy Spine and Sports Medicine LLC (129 clinicians)
- Elite Physical Therapy of Creve Coeur LLC (91 clinicians)
- Arnold Physical Therapy and Sports Medicine LLC (83 clinicians)
- Ozark Physical Therapy Inc. (46 clinicians)
Hospitals this clinician lists with Medicare, and groups they bill Medicare through (Care Compare). Affiliation doesn’t mean they see patients at every location.
Medicare patients and services
- Medicare patients, 2024
- 1,010
- Services billed
- 6,469
- Patients’ average age
- 73
| Service | Times | Patients |
|---|---|---|
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,608 | 187 |
| Established patient office or other outpatient visit, 20-29 minutes | 673 | 547 |
| Aspiration and/or injection of fluid from large joint | 378 | 268 |
| Replacement of knee joint, both sides of knee | 189 | 179 |
| New patient office or other outpatient visit, 45-59 minutes | 147 | 147 |
| Established patient office or other outpatient visit, 30-39 minutes | 138 | 137 |
| Telephone medical discussion with physician, 11-20 minutes | 132 | 106 |
| Replacement of thigh bone and hip joint with prosthesis | 74 | 74 |
| New patient office or other outpatient visit, 60-74 minutes | 54 | 54 |
| Established patient office or other outpatient visit, 40-54 minutes | 50 | 50 |
Medicare fee-for-service only. CMS leaves out services billed for fewer than 11 patients. These figures describe a practice’s Medicare work; they aren’t a measure of quality.
Medicare prescriptions
| Drug | Prescriptions |
|---|---|
| Mupirocin Other prescribers in Saint Louis, MO | 527 |
| Meloxicam Other prescribers in Saint Louis, MO | 481 |
| Amoxicillin Other prescribers in Saint Louis, MO | 404 |
| Tramadol Hcl Other prescribers in Saint Louis, MO | 359 |
| Oxycodone Hcl Other prescribers in Saint Louis, MO | 265 |
| Prednisone Other prescribers in Saint Louis, MO | 108 |
| Vitamin D2 (ergocalciferol (vitamin d2)) Other prescribers in Saint Louis, MO | 106 |
| Doxycycline Hyclate Other prescribers in Saint Louis, MO | 91 |
| Clindamycin Hcl Other prescribers in Saint Louis, MO | 84 |
| Eliquis (apixaban) Other prescribers in Saint Louis, MO | 55 |
Prescriptions filled under Medicare Part D, including refills. CMS leaves out drugs prescribed fewer than 11 times.
Payments from drug and device companies
In 2025, 6 companies reported 114 payments worth $725,789 in total to this clinician.
| DePuy Synthes Products, Inc. | $326,738 |
|---|---|
| Medical Device Business Services, Inc. | $228,695 |
| Smith+nephew, Inc. | $156,680 |
| Ethicon US, LLC | $5,400 |
| Ethicon Inc. | $5,005 |
| DePuy Synthes Sales Inc. | $3,272 |
| Royalty or License | $464,249 |
|---|---|
| Consulting Fee | $252,333 |
| Travel and Lodging | $7,010 |
| Food and Beverage | $2,198 |
What the payments were for
| Company | What it was for | Amount |
|---|---|---|
| DePuy Synthes Products, Inc. May 9, 2025 | Royalty or License ATTUNE · Ortho-Knee | $100,000 |
| Smith+nephew, Inc. Mar 12, 2025 | Royalty or License REAL INTELLIGENCE; Navio · Recon Robotics | $71,199 |
| DePuy Synthes Products, Inc. Dec 22, 2025 | Royalty or License ATTUNE · Ortho-Knee | $52,777 |
| Smith+nephew, Inc. Jun 3, 2025 | Royalty or License REAL INTELLIGENCE; Navio · Recon Robotics | $43,769 |
| DePuy Synthes Products, Inc. Sep 29, 2025 | Royalty or License ATTUNE · Ortho-Knee | $42,317 |
| Smith+nephew, Inc. Aug 29, 2025 | Royalty or License REAL INTELLIGENCE; Navio · Recon Robotics | $41,711 |
| DePuy Synthes Products, Inc. Sep 29, 2025 | Royalty or License ATTUNE · Ortho-Knee | $41,500 |
| DePuy Synthes Products, Inc. Mar 24, 2025 | Royalty or License ATTUNE · Ortho-Knee | $38,665 |
| DePuy Synthes Products, Inc. Jan 13, 2025 | Royalty or License ATTUNE · Ortho-Knee | $30,304 |
| Medical Device Business Services, Inc. May 19, 2025 | Consulting Fee | $23,953 |
All 74 payments other than meals, newest first
| Company | What it was for | Amount |
|---|---|---|
| Medical Device Business Services, Inc. Dec 30, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $1,350 |
| DePuy Synthes Products, Inc. Dec 22, 2025 | Royalty or License ATTUNE · Ortho-Knee | $52,777 |
| Medical Device Business Services, Inc. Dec 22, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $8,100 |
| Medical Device Business Services, Inc. Dec 1, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $5,400 |
| Medical Device Business Services, Inc. Dec 1, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $2,250 |
| DePuy Synthes Products, Inc. Nov 27, 2025 | Royalty or License ATTUNE · Ortho-Knee | $2,006 |
| Medical Device Business Services, Inc. Nov 3, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $4,050 |
| Medical Device Business Services, Inc. Nov 3, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $2,250 |
| Medical Device Business Services, Inc. Nov 3, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $1,800 |
| Medical Device Business Services, Inc. Oct 28, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Grapevine, TX · in-kind | $33.80 |
| DePuy Synthes Sales Inc. Oct 24, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to SOUTHLAKE, TX · in-kind | $13.79 |
| Medical Device Business Services, Inc. Oct 23, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $1,350 |
| Medical Device Business Services, Inc. Oct 20, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $16,200 |
| Ethicon US, LLC Oct 20, 2025 | Consulting Fee DERMABOND; STRATAFIX; SURGICEL NU-KNIT · Wound Closure | $3,600 |
| Medical Device Business Services, Inc. Oct 20, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $2,700 |
| Ethicon US, LLC Oct 20, 2025 | Consulting Fee DERMABOND; STRATAFIX; SURGICEL NU-KNIT · Wound Closure | $1,800 |
| Medical Device Business Services, Inc. Oct 17, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $1,430 |
| Medical Device Business Services, Inc. Oct 10, 2025 | Travel and Lodging travel to HOUSTON, TX · in-kind | $477 |
| Medical Device Business Services, Inc. Oct 10, 2025 | Travel and Lodging travel to HOUSTON, TX · in-kind | $272 |
| Medical Device Business Services, Inc. Oct 10, 2025 | Travel and Lodging travel to HOUSTON, TX · in-kind | $50.00 |
| DePuy Synthes Products, Inc. Sep 29, 2025 | Royalty or License ATTUNE · Ortho-Knee | $42,317 |
| DePuy Synthes Products, Inc. Sep 29, 2025 | Royalty or License ATTUNE · Ortho-Knee | $41,500 |
| Medical Device Business Services, Inc. Sep 29, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $18,233 |
| Medical Device Business Services, Inc. Sep 29, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $6,750 |
| Medical Device Business Services, Inc. Sep 27, 2025 | Travel and Lodging travel to CHICAGO, IL · in-kind | $602 |
| Medical Device Business Services, Inc. Sep 27, 2025 | Travel and Lodging travel to CHICAGO, IL · in-kind | $216 |
| Smith+nephew, Inc. Aug 29, 2025 | Royalty or License REAL INTELLIGENCE; Navio · Recon Robotics | $41,711 |
| DePuy Synthes Products, Inc. Aug 19, 2025 | Consulting Fee | $6,435 |
| Medical Device Business Services, Inc. Aug 18, 2025 | Consulting Fee | $16,803 |
| Medical Device Business Services, Inc. Aug 4, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $5,720 |
| Medical Device Business Services, Inc. Aug 1, 2025 | Consulting Fee ACTIS; ATTUNE; Velys · Ortho-Hip | $9,900 |
| DePuy Synthes Products, Inc. Jul 30, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Chicago, IL · in-kind | $199 |
| DePuy Synthes Products, Inc. Jul 30, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Chicago, IL · in-kind | $199 |
| DePuy Synthes Products, Inc. Jul 22, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Chicago, IL · in-kind | $150 |
| DePuy Synthes Products, Inc. Jul 16, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Chicago, IL · in-kind | $570 |
| DePuy Synthes Products, Inc. Jun 9, 2025 | Consulting Fee | $720 |
| Medical Device Business Services, Inc. Jun 6, 2025 | Consulting Fee | $22,880 |
| Medical Device Business Services, Inc. Jun 6, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $15,730 |
| Smith+nephew, Inc. Jun 3, 2025 | Royalty or License REAL INTELLIGENCE; Navio · Recon Robotics | $43,769 |
| Medical Device Business Services, Inc. May 20, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $3,575 |
| Medical Device Business Services, Inc. May 19, 2025 | Consulting Fee | $23,953 |
| Medical Device Business Services, Inc. May 16, 2025 | Travel and Lodging Velys · Ortho-Knee · travel to DENVER, CO · in-kind | $739 |
| Medical Device Business Services, Inc. May 16, 2025 | Travel and Lodging Velys · Ortho-Knee · travel to DENVER, CO · in-kind | $277 |
| Medical Device Business Services, Inc. May 16, 2025 | Travel and Lodging Velys · Ortho-Knee · travel to DENVER, CO · in-kind | $206 |
| DePuy Synthes Products, Inc. May 9, 2025 | Royalty or License ATTUNE · Ortho-Knee | $100,000 |
| Ethicon Inc. May 9, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $5,005 |
| Medical Device Business Services, Inc. May 9, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $1,430 |
| Medical Device Business Services, Inc. May 9, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $715 |
| Medical Device Business Services, Inc. Apr 28, 2025 | Consulting Fee | $4,290 |
| Medical Device Business Services, Inc. Apr 28, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $2,145 |
| DePuy Synthes Products, Inc. Mar 26, 2025 | Consulting Fee | $6,078 |
| DePuy Synthes Products, Inc. Mar 24, 2025 | Royalty or License ATTUNE · Ortho-Knee | $38,665 |
| DePuy Synthes Products, Inc. Mar 19, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to San Antonio, TX · in-kind | $220 |
| DePuy Synthes Products, Inc. Mar 17, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Long Beach, CA · in-kind | $587 |
| DePuy Synthes Products, Inc. Mar 13, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Long Beach, CA · in-kind | $238 |
| Smith+nephew, Inc. Mar 12, 2025 | Royalty or License REAL INTELLIGENCE; Navio · Recon Robotics | $71,199 |
| Medical Device Business Services, Inc. Mar 3, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $15,015 |
| Medical Device Business Services, Inc. Mar 3, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $8,580 |
| DePuy Synthes Products, Inc. Feb 28, 2025 | Travel and Lodging ATTUNE · Ortho-Knee · travel to Long Beach, CA · in-kind | $757 |
| DePuy Synthes Products, Inc. Feb 17, 2025 | Consulting Fee | $1,430 |
| DePuy Synthes Products, Inc. Feb 14, 2025 | Consulting Fee | $1,430 |
| Medical Device Business Services, Inc. Feb 14, 2025 | Consulting Fee | $1,430 |
| Medical Device Business Services, Inc. Feb 14, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $1,073 |
| Medical Device Business Services, Inc. Feb 14, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $715 |
| Medical Device Business Services, Inc. Feb 2, 2025 | Travel and Lodging travel to San Antonio, TX · in-kind | $138 |
| Medical Device Business Services, Inc. Feb 2, 2025 | Travel and Lodging travel to San Antonio, TX · in-kind | $130 |
| Medical Device Business Services, Inc. Feb 2, 2025 | Travel and Lodging travel to San Antonio, TX · in-kind | $118 |
| Medical Device Business Services, Inc. Jan 23, 2025 | Travel and Lodging travel to San Antonio, TX · in-kind | $753 |
| Medical Device Business Services, Inc. Jan 22, 2025 | Travel and Lodging travel to San Antonio, TX · in-kind | $65.00 |
| DePuy Synthes Products, Inc. Jan 13, 2025 | Royalty or License ATTUNE · Ortho-Knee | $30,304 |
| Medical Device Business Services, Inc. Jan 9, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $9,295 |
| Medical Device Business Services, Inc. Jan 9, 2025 | Consulting Fee | $6,435 |
| DePuy Synthes Sales Inc. Jan 9, 2025 | Consulting Fee | $2,860 |
| Medical Device Business Services, Inc. Jan 9, 2025 | Consulting Fee ATTUNE; Velys · Ortho-Knee | $1,430 |
Each payment as the company reported it, with the products it named. Meals are counted in the totals above but not listed one by one.
From CMS Open Payments. A payment is not evidence of wrongdoing; many are for consulting, teaching or meals. Clinicians can review and dispute their records with CMS.