T-Plif
Payments companies reported to CMS as associated with T-Plif. "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 T-Plif, 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 T-Plif
These are the largest totals companies reported as associated with T-Plif. 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) |
|---|---|---|---|
| Gary Flangas | Las Vegas, NV | Neurological Surgery | $206.37 |
| Debra Nelson | Las Vegas, NV | Neurological Surgery | $192.28 |
| Edward Jung | Seattle, WA | Orthopaedic Surgery of The Spine | $87.76 |
| Efrem Cox | Las Vegas, NV | Neurological Surgery | $73.66 |
| Mohammed Alghamdi | Lubbock, TX | Neurological Surgery | $65.10 |
| Brian Karamian | Palo Alto, CA | Orthopaedic Surgery of The Spine | $52.61 |
| Erica Bisson | Burlington, MA | Neurological Surgery | $52.61 |
| Matthew Philippi | Salt Lake City, UT | Orthopaedic Surgery | $52.61 |
| Shaad Bidiwala | Dallas, TX | $43.10 | |
| Snow Nguyen | Dallas, TX | Physician Assistant | $43.10 |
Prescribed T-Plif?
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.