Adrian Thomas, MD
Orthopaedic Surgery of the Spine · Bedford, NHNPI 1386801132
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $766,520 of the $943,776 with a category attached, or 81.2%. Medtronic accounts for 99.1% of it on its own, with 22 other manufacturers making up the rest.
Across 1,016 payments — averaging $928.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$935K
- Alphatec Spine, Inc$5K
- Stryker$2K
- Globus Medical$1K
- Xtant Medical Inc$192
- Precision Spine, Inc.$159
- plus $767 from 17 others
What the payments were for
- Consulting fees$57,3286%
- Speaking & faculty fees$766,52081%
- Travel & lodging$94,85310%
- Food & beverage$25,0753%
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) | 925 | $934,942 |
| Alphatec Spine, Inc | 21 | $5,044 |
| Stryker | 36 | $1,596 |
| Globus Medical(2 entities) | 7 | $1,075 |
| Xtant Medical Inc | 3 | $192 |
| Precision Spine, Inc. | 1 | $159 |
| Bioventus LLC | 2 | $144 |
| CTL Medical Corporation | 2 | $94 |
| AbbVie | 2 | $68 |
| Collegium Pharmaceutical, Inc. | 3 | $57 |
| Johnson & Johnson | 1 | $55 |
| Boston Scientific | 2 | $49 |
| Viseon, Inc. | 1 | $48 |
| Orthofix Medical, Inc. | 1 | $41 |
| Kuros Biosciences USA, Inc | 1 | $40 |
| Sanara Medtech Inc. | 1 | $37 |
| Cerapedics Inc. | 1 | $33 |
| Biocomposites Inc | 1 | $22 |
| Radius Health, Inc. | 1 | $22 |
| Valinor Pharma, LLC | 1 | $17 |
| Smith+Nephew | 1 | $16 |
| Shionogi Inc | 1 | $14 |
| Si-bone, Inc. | 1 | $12 |
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.
- PIVOX Oblique Lateral Spinal System$228,786
- CD HORIZON SPINAL SYSTEM$116,152
- CLYDESDALE PTC SPINAL SYSTEM$99,376
- STEALTHSTATION S8 PLATFORM$62,043
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$47,395
- MAZOR X SYSTEM$31,436
- CLYDESDALE$25,479
- DIVERGENCE-L$23,498
- STEALTH AUTOGUIDE SYSTEM$21,501
- CRESCENT$20,790
- CD HORIZON$19,308
- DIVERGENCE-L ANTERIOR/OBLIQUE LUMBAR FUSION SYSTEM$18,454
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$15,082
- O-ARM-Spine$12,585
- RIALTO$11,410
- StealthStation$10,185
- O-ARM$9,667
- PERIMETER$7,500
- Other - Miscellaneous$3,617
- O-ARM-ST$2,768
How this compares
Too few orthopaedic surgery of the spine providers in New Hampshireto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Methylprednisolone | 14 | $63 |
| Meloxicam | 13 | $33 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Bedford
- Uri AhnBedford$473K
- Thomas KleemanBedford$398K
- Gary FleischerNashua$747K
- Kevin McGuireLebanon$153K
- Russell Brummett IiConcord$2K
- Peter DirksmeierSomersworth$907
- William AbduLebanon$23
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.