Physician profile
Nicholas T Spina
NPI 1841422631
$97,588.40
in general payments reported to CMS, 2019-2025
12 companies · $39K in 2025
The $39K reported for 2025 was more than what 85% of Orthopaedic Surgery of The Spine providers received nationally (typical 2025 total: $2,116).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $152 · 2020: $500 · 2021: $2,425 · 2022: $14K · 2023: $23K · 2024: $19K · 2025: $39K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Consulting Fee: $34K · Travel and Lodging: $27K · Compensation For Serving As Faculty Or As A Speaker For A Medical Education Program: $9,250 · Royalty Or License: $7,260 · Food and Beverage: $2,809.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Consulting Fee | $34,200.00 |
| Travel and Lodging | $27,050.52 |
| Compensation For Serving As Faculty Or As A Speaker For A Medical Education Program | $9,250.00 |
| Royalty Or License | $7,260.00 |
| Food and Beverage | $2,808.90 |
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 |
|---|---|---|---|
| Axis Spine Technologies INC. | $59,197.77 | 2022-2025 | Axis Spine Technologies Alif Implant, Orthopedic Spinal Implants, Axis Spine Technologies Alif |
| Synthes Gmbh | $19,395.93 | 2020-2025 | |
| Depuy Synthes Products, INC. | $8,926.40 | 2025 | Mountaineer, Velys |
| Kuros Biosciences USA, INC | $8,099.78 | 2025 | Magnetos |
| Medical Device Business Services, INC. | $605.00 | 2023 | Mountaineer |
| Alphatec Spine, INC | $404.93 | 2023-2024 | Lif |
| Stryker Corporation | $348.50 | 2021-2025 | Cascadia Interbody System, Core |
| Depuy Synthes Sales INC. | $286.93 | 2023-2025 | Teligen, Velys, X-Pac |
| Nuvasive, INC. | $152.02 | 2019 | |
| Mml US, INC. | $97.87 | 2025 | Reactiv8 |
| Globus Medical, INC. | $49.07 | 2023 | Excelsiusgps Robotic Navigation System |
| Medtronic, INC. | $24.20 | 2024 | Mazor X System |
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 Nicholas Spina 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.