Napa Access System
Payments companies reported to CMS as associated with Napa Access 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 Napa Access 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 Napa Access System
These are the largest totals companies reported as associated with Napa Access 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) |
|---|---|---|---|
| Alireza Anissipour | Everett, WA | Orthopaedic Surgery of The Spine | $18,210.46 |
| Robert Stockton | Wallingford, CT | Orthopaedic Surgery of The Spine | $18,168.70 |
| Joshua Herzog | North Chesterfield, VA | Orthopaedic Surgery | $17,548.46 |
| Scott Fecteau | Hartford, CT | Surgery | $12,480.00 |
| Trevor Mciver | Sartell, MN | Orthopaedic Surgery | $8,843.88 |
| David Essig | New York, NY | $7,800.00 | |
| Joseph Obrien | Bethesda, MD | Orthopaedic Surgery of The Spine | $7,500.00 |
| John Williams | Fort Wayne, IN | Orthopaedic Surgery | $7,500.00 |
| Seth Williams | Madison, WI | Orthopaedic Surgery of The Spine | $7,500.00 |
| Alexander Ropper | Houston, TX | Neurological Surgery | $5,250.00 |
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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.