Device Spine-Total Disc Replacement

Activl

Payments companies reported to CMS as associated with Activl. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$1.6Massociated payments (2023-2025)
109clinicians with associated payments
2companies reporting

By year

2023 $826K
2024 $731K
2025 $20K

Payments reported as associated with Activl, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Orthopaedic Surgery $953K
Orthopaedic Surgery of The Spine $529K
Neurological Surgery $35K
Vascular Surgery $22K
Surgery $18K
Adult Reconstructive Orthopaedic Surgery $12K

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with Activl

These are the largest totals companies reported as associated with Activl. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

ClinicianLocationSpecialtyAssociated payments (2023-2025)
James Yue Shelton, CT Orthopaedic Surgery $437,263.14
Roger Jackson North Kansas City, MO Orthopaedic Surgery of The Spine $397,774.24
Rolando Garcia Miami, FL Orthopaedic Surgery $364,930.18
Jack Zigler Plano, TX Orthopaedic Surgery $122,509.22
Scott Blumenthal Plano, TX Orthopaedic Surgery of The Spine $60,405.25
Richard Guyer Plano, TX Orthopaedic Surgery of The Spine $45,221.72
Faheem Sandhu Clinton, MD Neurological Surgery $21,683.66
Thomas Terramani La Mesa, CA Vascular Surgery $19,191.20
Jonathan Schoeff Lone Tree, CO Surgery $16,989.69
William Reed Lenexa, KS Orthopaedic Surgery $13,292.03

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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.