Physician profile
John Small
NPI 1144227364
$467,065.23
in general payments reported to CMS, 2019-2025
23 companies · $75K in 2025
The $75K reported for 2025 was more than what 96% of Orthopaedic Surgery providers received nationally (typical 2025 total: $569).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $48K · 2020: $67K · 2021: $73K · 2022: $61K · 2023: $63K · 2024: $80K · 2025: $75K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $151K · Consulting Fee: $47K · Travel and Lodging: $13K · Food and Beverage: $7,270.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $151,133.92 |
| Consulting Fee | $47,250.00 |
| Travel and Lodging | $13,103.61 |
| Food and Beverage | $7,269.96 |
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 |
|---|---|---|---|
| Hyhte Holdings INC. | $371,466.09 | 2019-2025 | Olympic, Olympic, Masada, Masada |
| Carlsmed, INC. | $63,364.36 | 2023-2025 | Aprevo |
| Centinel Spine, LLC | $22,775.02 | 2019-2022 | |
| Alphatec Spine, INC | $3,508.55 | 2021-2025 | Other - Miscellaneous, Invictus Mis |
| Globus Medical, INC. | $1,775.87 | 2021-2025 | Excelsiusgps Robotic Navigation System, Excelsius Gps, Modulus |
| Medtronic, INC. | $792.47 | 2021-2025 | Sovereign Spinal System, Plasmablade(Tm) |
| Medical Device Business Services, INC. | $697.78 | 2023 | Teligen |
| Stryker Corporation | $460.46 | 2019 | |
| Depuy Synthes Sales INC. | $440.87 | 2019-2024 | Teligen, Expedium |
| Innovation Technologies INC | $282.76 | 2021-2025 | Irrisept |
| Cerapedics INC. | $279.24 | 2024-2025 | I-Factor Peptide Enhanced Bone Graft |
| Smith+Nephew, INC. | $259.05 | 2019-2022 | |
| Integrity Implants INC. | $217.22 | 2021-2022 | |
| Orthofix Medical, INC. | $191.78 | 2019-2020 | |
| Boston Scientific Corporation | $178.73 | 2024-2025 | Wavewriter Alpha Prime 16 |
Show all 21 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Si-Bone, INC. | $165.18 | 2022 | |
| Baxter Healthcare | $121.32 | 2022 | |
| Vertex Pharmaceuticals Incorporated | $25.00 | 2025 | |
| Medtronic USA, INC. | $23.64 | 2019 | |
| Life Spine, INC. | $21.59 | 2022 | |
| Stimwave Technologies Incorporated | $18.25 | 2019 |
2 companies reported research payments only; those appear in the research section below.
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.
Research and ownership
$138,000.00 in ownership or investment interests, as reported to CMS. These are holdings a clinician or an immediate family member has in a company, not payments received.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw John Small 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.