Annex Adjacent Level System
Payments companies reported to CMS as associated with Annex Adjacent Level System. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Annex Adjacent Level System, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Annex Adjacent Level System
These are the largest totals companies reported as associated with Annex Adjacent Level System. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Cary Templin | Joliet, IL | Orthopaedic Surgery | $1,355.18 |
| Justin Field | Phoenix, AZ | Orthopaedic Surgery of The Spine | $455.89 |
| Harvinder Bedi | Phoenix, AZ | Orthopaedic Surgery of The Spine | $370.42 |
| Samuel Critides | Fort Walton Beach, FL | Neurological Surgery | $232.88 |
| Carl Youssef | Panama City, FL | Neurological Surgery | $182.06 |
| Josue Gabriel | Hilliard, OH | Orthopaedic Surgery of The Spine | $146.00 |
| Ryan Perry | Fort Myers, FL | Orthopaedic Surgery | $123.84 |
| Tim Adamson | Charlotte, NC | Neurological Surgery | $121.97 |
| Edwin Chang | Staten Island, NY | Neurological Surgery | $120.13 |
| Dawn Cottone | Staten Island, NY | Surgical | $120.13 |
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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.