Adam Crowl, MD
Orthopaedic Surgery of the Spine · Richmond, VANPI 1457327652
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $38,391 of the $62,925 with a category attached, or 61.0%. Orthofix Medical, Inc. accounts for 60.6% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $26,664, more than ten times the $300 reported in 2019.
Across 107 payments — averaging $588.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$38K
- Innovasis Inc$11K
- Bioventus LLC$6K
- Surgalign Spine Technologies, Inc.$5K
- Stryker$1K
- Medtronic$343
- plus $989 from 9 others
Across 9 payments — averaging $7408.33 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.
- Bioventus LLC$67K
What the payments were for
- Consulting fees$38,39161%
- Speaking & faculty fees$3,9386%
- Travel & lodging$16,63626%
- Food & beverage$3,9606%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 42 | $38,117 |
| Innovasis Inc | 10 | $11,025 |
| Bioventus LLC | 7 | $6,015 |
| Surgalign Spine Technologies, Inc. | 25 | $5,146 |
| Stryker | 5 | $1,290 |
| Medtronic(2 entities) | 3 | $343 |
| Arteriocyte Medical Systems, Inc. | 2 | $257 |
| Spinal Elements, Inc. | 2 | $196 |
| VB Spine LLC | 1 | $171 |
| Seaspine Orthopedics Corporation | 3 | $128 |
| Si-bone, Inc. | 2 | $98 |
| Choice Spine, LLC | 1 | $64 |
| Johnson & Johnson | 2 | $38 |
| Zimvie Inc. | 1 | $22 |
| Misonix Inc | 1 | $15 |
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.
- MISCELLANEOUS$9,151
- ARAI SURGICAL NAVIGATION SYSTEM$3,281
- NONE$1,781
- EVEREST SPINAL SYSTEM$1,193
- FORTILINK-TC TIPLUS$1,031
- STREAMLINE* OCT OCCIPITO-CERVICO-THORACIC SYSTEM$1,031
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$1,031
- Mariner MIS TLIF Retractor$500
- STREAMLINE MIS SPINAL FIXATION SYSTEM$261
- FORTILINK-A$250
- Magellan$207
- PRESTIGE$172
- MONTEREY AL$171
- Mariner$162
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$134
- Medical Device$132
- PIONEER SURGICAL SURGICAL ILLUMINATOR$125
How this compares
$62,925 in reported general payments places this provider in the 70th percentile of 43 orthopaedic surgery of the spine providers in Virginia.
See all orthopaedic surgery of the spine providers in Virginia →
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 |
|---|---|---|
| Prednisone | 64 | $682 |
| Gabapentin | 35 | $542 |
| Celecoxib | 28 | $530 |
| Diclofenac Sodium | 59 | $512 |
| Methylprednisolone | 21 | $115 |
| Diazepam | 57 | $82 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Richmond
- Jed VanichkachornRichmond$2.3M
- John SimpsonRichmond$880K
- Thomas SciosciaRichmond$274K
- Sean KellyRichmond$19K
- Lauren BarberRichmond$16K
- Christopher GoodReston$1.7M
- Colin HainesReston$700K
- Ehsan JaziniReston$502K
- Francis ShenCharlottesville$432K
- Jeffrey CarlsonNewport News$295K
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.