Guided Instruments
Payments companies reported to CMS as associated with Guided Instruments. "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 Guided Instruments, 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 Guided Instruments
These are the largest totals companies reported as associated with Guided Instruments. 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) |
|---|---|---|---|
| Thomas Lovely | Latham, NY | Neurological Surgery | $487.50 |
| Fernando Villamil | San Juan, PR | Orthopaedic Surgery of The Spine | $143.19 |
| Sandeep Gidvani | Los Gatos, CA | Orthopaedic Surgery of The Spine | $135.80 |
| Brandon Carlson | Kansas City, KS | Orthopaedic Surgery | $129.58 |
| Carl Youssef | Panama City, FL | Neurological Surgery | $123.11 |
| Eva Pamias Portalatin | San Juan, PR | Neurological Surgery | $110.71 |
| Aaron Diederich | Kansas City, KS | $95.69 | |
| Joshua Bunch | Kansas City, KS | Orthopaedic Surgery of The Spine | $95.68 |
| Christopher Busch | Salem, VA | Neurology (Psychiatry & Neurology) | $72.46 |
| Tawney Freeman | Los Angeles, CA | Medical | $37.15 |
Prescribed Guided Instruments?
See what its makers reported for your doctor. Two steps, private, no account.
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.