Physician profile
Raphael Roybal
NPI 1518909712
$400,235.30
in general payments reported to CMS, 2019-2025
22 companies · $978 in 2025
The $978 reported for 2025 was less than what a typical Orthopaedic Surgery of The Spine provider received nationally (typical 2025 total: $2,116).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $51K · 2020: $61K · 2021: $86K · 2022: $75K · 2023: $63K · 2024: $64K · 2025: $978.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $125K · Food and Beverage: $2,658.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $124,676.92 |
| Food and Beverage | $2,657.69 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Integrity Implants INC. | $240,563.38 | 2019-2022 | Flarehawk, Linesider |
| Integrity Implants INC. Dba Accelus | $124,676.92 | 2023-2024 | Flarehawk, Linesider |
| Orthofix Medical, INC. | $15,676.95 | 2019-2021 | |
| Captiva Spine INC | $4,955.10 | 2019-2022 | |
| Mirus, LLC | $4,292.50 | 2020-2022 | |
| Republic Spine | $3,678.99 | 2019-2025 | Dark Star, Dark Star |
| Silony Medical Corp. | $2,400.00 | 2019 | |
| Centinel Spine, LLC | $1,151.46 | 2019-2025 | Prodisc C Vivo |
| Boston Scientific Corporation | $793.15 | 2019-2022 | |
| Circinus Medical Technology LLC | $525.89 | 2024-2025 | Bolt Navigation |
| Degen Medical, INC. | $297.54 | 2022 | |
| Zimmer Biomet Holdings, INC. | $238.92 | 2019 | |
| Elevation Spine, INC. | $191.73 | 2024-2025 | |
| Seaspine Orthopedics Corporation | $178.10 | 2021 | |
| Osteoremedies, LLC | $140.64 | 2025 |
Show all 22 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Biocomposites INC | $113.49 | 2025 | Stimulan |
| Surgentec | $94.93 | 2023 | Tilink, Ion Facet Screw System |
| Camber Spine Technologies LLC | $94.83 | 2022 | |
| Biedermann Motech, INC. | $56.28 | 2019 | |
| Titan Spine, LLC | $50.33 | 2019 | |
| Intrinsic Therapeutics | $37.33 | 2022 | |
| Si-Bone, INC. | $26.84 | 2023 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Raphael Roybal listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.