Alessandro Speciale, MD
Orthopaedic Surgery of the Spine · Annapolis, MDNPI 1962404137
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $27,250 of the $38,933 with a category attached, or 70.0%. 13 manufacturers reported payments, led by Stryker at 52.6% of the total. Reporting peaked in 2021 at $19,647 and has fallen 88.2% since, to $2,313 in 2025.
Across 114 payments — averaging $341.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$20K
- Globus Medical$12K
- Medtronic$6K
- Si-bone, Inc.$191
- Johnson & Johnson$154
- Native Surgical, LLC$109
- plus $272 from 7 others
Across 10 payments — averaging $15,797 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.
- Pfizer$155K
- Elutia, Inc.$3K
What the payments were for
- Royalty or licence$1971%
- Consulting fees$27,25070%
- Speaking & faculty fees$1,8005%
- Travel & lodging$6,09116%
- Food & beverage$3,5949%
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 | 24 | $20,465 |
| Globus Medical(2 entities) | 18 | $11,829 |
| Medtronic(2 entities) | 51 | $5,914 |
| Si-bone, Inc. | 4 | $191 |
| Johnson & Johnson | 4 | $154 |
| Native Surgical, LLC | 1 | $109 |
| Orthofix Medical, Inc. | 3 | $95 |
| Boston Scientific | 2 | $49 |
| Supreme Orthopedic Systems, LLC | 2 | $41 |
| Cerapedics Inc. | 1 | $23 |
| Biocomposites Inc | 2 | $23 |
| Zimmer Biomet | 1 | $22 |
| Amgen | 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.
- RAVINE LATERAL ACCESS SYSTEM$12,400
- XLIF$11,541
- CASCADIA INTERBODY SYSTEM$9,419
- NIAGARA LATERAL ACCESS SYSTEM$3,250
- SPINEMASK$2,800
- SPINEMAP$2,800
- AIRO$2,800
- MAZOR X SYSTEM$2,078
- STEALTHSTATION S8 PLATFORM$1,846
- CD HORIZON SPINAL SYSTEM$346
- ADVANCED PRODUCT DEVELOPMENT$286
- UNID_PASS$276
- MAKO$240
- ProLift$240
- INTELLIS ADAPTIVESTIM$170
- NONE$159
How this compares
$38,933 in reported general payments places this provider in the 75th percentile of 49 orthopaedic surgery of the spine providers in Maryland.
See all orthopaedic surgery of the spine providers in Maryland →
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 |
|---|---|---|
| Mupirocin | 94 | $677 |
| Gabapentin | 34 | $303 |
| Oxycodone Hcl | 23 | $87 |
| Prednisone | 28 | $81 |
| Meloxicam | 15 | $28 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Annapolis
- Chad PattonAnnapolis$29K
- Stephen FaustAnnapolis$19
- John CarboneBaltimore$25M
- Steven LudwigBaltimore$2.7M
- Joseph ObrienBethesda$2.4M
- Paul McAfeeBaltimore$2.2M
- Ira FedderTowson$1.1M
- Scott McGovernSalisbury$431K
- Amit JainBaltimore$250K
- Andrew MoOlney$166K
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.