Aldona Spiegel, MD
Plastic and Reconstructive Surgery · Houston, TXNPI 1114956778
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $669,233 of the $758,911 with a category attached, or 88.2%. Musculoskeletal Transplant Foundation Inc. accounts for 63.1% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2019 at $240,603 and has fallen 56.2% since, to $105,466 in 2025. Among plastic and reconstructive surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 371 payments — averaging $2045.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Musculoskeletal Transplant Foundation Inc.$479K
- Medical Device Business Services, Inc.$160K
- Mentor Worldwide LLC$82K
- Axogen$25K
- Integra Lifesciences Corporation$4K
- AbbVie$3K
- plus $5K from 16 others
Across 2 payments — averaging $6500.00 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.
- Axogen$13K
Across 2 payments — averaging $56,151 each. An ownership or investment interest held by the physician or an immediate family member.
- Somavac Medical Solutions, Inc.$112K
What the payments were for
- Consulting fees$669,23388%
- Speaking & faculty fees$32,1134%
- Travel & lodging$45,0316%
- Food & beverage$12,2082%
- Other$3260%
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 |
|---|---|---|
| Musculoskeletal Transplant Foundation Inc. | 106 | $478,815 |
| Medical Device Business Services, Inc. | 75 | $160,248 |
| Mentor Worldwide LLC | 110 | $81,935 |
| Axogen | 20 | $25,409 |
| Integra Lifesciences Corporation | 8 | $4,143 |
| AbbVie(2 entities) | 14 | $3,106 |
| Coopersurgical, Inc. | 3 | $2,213 |
| Biom'up France SAS | 1 | $1,000 |
| Sientra, Inc. | 9 | $546 |
| Davol Inc. | 2 | $393 |
| TELA Bio, Inc. | 5 | $265 |
| Zimmer Biomet | 3 | $222 |
| Medtronic | 2 | $172 |
| Motiva USA, LLC | 2 | $114 |
| Smith+Nephew | 2 | $93 |
| Somavac Medical Solutions, Inc. | 1 | $75 |
| Alafair Biosciences, Inc. | 3 | $49 |
| BD | 1 | $43 |
| Checkpoint Surgical, Inc | 1 | $30 |
| Bard Peripheral Vascular, Inc. | 1 | $20 |
| Mesh Suture Inc | 1 | $16 |
| Kerecis Limited | 1 | $4 |
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.
- MENTOR MemoryGel Resterilizable Gel Sizer$45,602
- AVANCE NERVE GRAFT$24,526
- MENTOR MemoryShape Breast Implant$8,710
- AxoGuard Nerve Connector$4,960
- AxoGuard Nerve Protector$4,960
- MENTOR CPX 2 Breast Tissue Expander$4,883
- AXOGUARD HA+ NERVE PROTECTOR$3,871
- AxoGuard Nerve Cap$3,871
- OMNIGRAFT$3,300
- INTEGRA$3,300
- Summit Doppler$2,125
- HemoBlast Bellows$1,000
- AXOGUARD$1,000
- ARTOURA Breast Tissue Expander$826
- MemoryGel Breast Implants$694
- MemoryShape Breast Implants$694
- SILTEX Breast Implants$694
- DuraSorb Monofilament Mesh$445
- CODMAN CERTAS$275
- SURGIMEND$275
How this compares
$758,911 in reported general payments places this provider in the 95th percentile of 378 plastic and reconstructive surgery providers in Texas.
See all plastic and reconstructive surgery 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.
Other plastic and reconstructive surgery in Houston
- Charles ButlerHouston$227K
- Michael KlebucHouston$204K
- Patrick GarveyHouston$117K
- Rukmini RednamHouston$113K
- Edward ChangHouston$111K
- Christi BlakkolbHouston$69K
- Justin BroylesHouston$48K
- Pablo PadillaHouston$46K
- Courtney El-ZokmHouston$29K
- John NguyenHouston$26K
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.