Aaron Creek, MD
Orthopaedic Surgery of the Spine · Miramar Beach, FLNPI 1265795918
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 36 manufacturers, the largest accounting for just 22.8%. Reporting peaked in 2019 at $20,805 and has fallen 68.6% since, to $6,540 in 2025.
Across 348 payments — averaging $183.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$15K
- Acuity Surgical Devices, LLC$9K
- Mirus, LLC$8K
- Surgalign Spine Technologies, Inc.$5K
- Captiva Spine Inc$4K
- 4web, Inc.$4K
- plus $19K from 30 others
Across 3 payments — averaging $3250.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Spinal Elements, Inc.$10K
What the payments were for
- Consulting fees$37,87559%
- Speaking & faculty fees$1,0002%
- Travel & lodging$9,27615%
- Food & beverage$14,19622%
- Entertainment$2370%
- Other$1,2622%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medtronic(2 entities) | 65 | $14,553 |
| Acuity Surgical Devices, LLC | 4 | $8,686 |
| Mirus, LLC | 8 | $7,988 |
| Surgalign Spine Technologies, Inc. | 10 | $5,391 |
| Captiva Spine Inc | 2 | $4,200 |
| 4web, Inc. | 4 | $4,134 |
| Spineart USA Inc | 9 | $3,140 |
| Spinal Elements, Inc. | 34 | $2,333 |
| Globus Medical(2 entities) | 50 | $2,254 |
| Stryker | 14 | $1,982 |
| Cerapedics Inc. | 44 | $1,762 |
| Orthofix Medical, Inc. | 5 | $1,304 |
| Integrity Implants Inc. Dba Accelus | 6 | $1,058 |
| Aesculap Implant Systems, LLC | 9 | $1,045 |
| CGG Medical Inc | 5 | $1,003 |
| Johnson & Johnson(2 entities) | 26 | $650 |
| Providence Medical Technology, Inc. | 9 | $524 |
| Si-bone, Inc. | 9 | $324 |
| Arthrex | 2 | $273 |
| Abbott | 3 | $150 |
| DJO, LLC | 5 | $147 |
| Boston Scientific | 1 | $141 |
| Spine Wave, Inc. | 2 | $130 |
| Carlsmed, Inc. | 1 | $102 |
| Amgen | 6 | $96 |
| Medical Device Business Services, Inc. | 1 | $86 |
| Kalitec Direct LLC | 1 | $75 |
| Integrity Implants Inc. | 2 | $67 |
| Baxter Healthcare | 2 | $53 |
| Relievant Medsystems, Inc. | 2 | $51 |
| Corelink, LLC | 1 | $40 |
| Alphatec Spine, Inc | 1 | $31 |
| Zimmer Biomet | 2 | $30 |
| Zimvie Inc. | 1 | $16 |
| Ulrich Medical USA, Inc. | 1 | $15 |
| Centinel Spine, LLC | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- EUROPA Pedicle Screw System$7,973
- CYGNUS Anterior Cervical Plate$7,973
- MIDAS REX$6,438
- CLYDESDALE$5,271
- ARAI SURGICAL NAVIGATION SYSTEM$4,464
- WatchTower$4,200
- SPINE TRUSS SYSTEM$4,113
- Physio-Stim$1,262
- REMI$1,000
- MazorX - Renaissance$972
- Medical Device$958
- EVEREST SPINAL SYSTEM$859
- ACTIVL ARTIFICIAL DISC$832
- Pulse$607
- FORTILINK-A IBF SYSTEM$552
- STREAMLINE MIS SPINAL FIXATION SYSTEM$552
- BIOMAX$552
- Medical Devices$438
- FORTILINK CAGES WITH TIPLUS TECHNOLOGY$412
- STREAMLINE TL SPINAL FIXATION SYSTEM$412
How this compares
$63,847 in reported general payments places this provider in the 65th percentile of 159 orthopaedic surgery of the spine providers in Florida.
See all orthopaedic surgery of the spine providers in Florida →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 304 | $9,377 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 180 | $4,041 |
| Oxycodone Hcl | 51 | $621 |
| Gabapentin | 78 | $558 |
| Morphine Sulfate ErMorphine Sulfate | 28 | $509 |
| Cyclobenzaprine Hcl | 55 | $473 |
| Tramadol Hcl | 50 | $360 |
| Zolpidem Tartrate | 14 | $153 |
| Diazepam | 34 | $146 |
| Methylprednisolone | 23 | $145 |
| Prednisone | 11 | $142 |
| Methocarbamol | 19 | $101 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Miramar Beach
- Harry ShufflebargerMiami$3.5M
- Paul KellerMelbourne$3.4M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
- Samuel JosephSafety Harbor$1.7M
- Thomas ErricoMiami$1.6M
- Constantine ToumbisCrystal River$1.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.