Adam Bruggeman, MD
Orthopaedic Surgery of the Spine · San Antonio, TXNPI 1316160625
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $44,645 of the $64,081 with a category attached, or 69.7%. 32 manufacturers reported payments, led by Stryker at 26.0% of the total. Reporting peaked in 2019 at $28,308 and has fallen 90.0% since, to $2,830 in 2025.
Across 357 payments — averaging $179.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$17K
- Titan Spine, LLC$17K
- Medtronic$13K
- Si-bone, Inc.$8K
- Intrinsic Therapeutics$4K
- Abbott$1K
- plus $5K from 26 others
Across 73 payments — averaging $8954.07 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.
- Centinel Spine, LLC$635K
- Medtronic$19K
What the payments were for
- Consulting fees$44,64570%
- Speaking & faculty fees$5401%
- Travel & lodging$6,32010%
- Food & beverage$11,92419%
- Education$6521%
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 |
|---|---|---|
| Stryker | 27 | $16,643 |
| Titan Spine, LLC | 7 | $16,642 |
| Medtronic(2 entities) | 34 | $12,771 |
| Si-bone, Inc. | 38 | $7,807 |
| Intrinsic Therapeutics | 88 | $4,055 |
| Abbott | 42 | $1,135 |
| Centinel Spine, LLC | 9 | $1,063 |
| Boston Scientific | 58 | $862 |
| Curiteva, Inc. | 3 | $667 |
| Alafair Biosciences, Inc. | 4 | $462 |
| Zimmer Biomet | 2 | $241 |
| Orthofix Medical, Inc. | 21 | $171 |
| Spineart USA Inc | 1 | $157 |
| Clariance, Inc. | 1 | $151 |
| Cerapedics Inc. | 1 | $137 |
| Neo Spine USA, Inc. | 1 | $119 |
| Nexxt Spine LLC | 2 | $116 |
| Integrity Implants Inc. Dba Accelus | 1 | $110 |
| Pacira Therapeutics, Inc. | 1 | $103 |
| Painteq LLC | 2 | $95 |
| Smith+Nephew | 1 | $88 |
| Life Spine, Inc. | 2 | $83 |
| Globus Medical | 1 | $77 |
| VB Spine LLC | 1 | $68 |
| Pacira Pharmaceuticals Incorporated | 1 | $65 |
| Nevro Corp. | 2 | $56 |
| ETS Wound Care LLC | 1 | $29 |
| Johnson & Johnson | 1 | $29 |
| Biocomposites Inc | 1 | $23 |
| Baxter Healthcare | 1 | $20 |
| DJO, LLC | 1 | $18 |
| Medacta USA, Inc. | 1 | $18 |
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.
- nanoLOCK$16,576
- EVEREST XT$12,325
- ALEUTIAN TLIF MI$12,325
- LATERAL ACCESS SPINAL SYSTEM$12,325
- iFuse Implant$6,944
- SAHARA$6,375
- EVEREST MI$5,950
- EXPANDABLE CAGE$5,950
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$5,804
- NEW PRODUCT DEVELOPMENT$2,901
- nanoLOCK-L$1,215
- PRODISC L$757
- CASCADIA INTERBODY SYSTEM$652
- nanoLOCK-C$540
- VersaWrap$382
- PROCLAIM$250
- Scarlet AL-T$157
- Erisma-MIS$151
- Trauma-None$143
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$137
How this compares
$64,081 in reported general payments places this provider in the 70th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $348 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in San Antonio
- M DennisSan Antonio$236K
- Kevin RichardsonSan Antonio$90K
- Antonio WebbSan Antonio$75K
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
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.