Alex Detwiler, DO
Orthopaedic Surgery of the Spine · Stillwater, OKNPI 1831519107
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (54.1%), food and beverage and education — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Stryker at 25.7% of the total. 2025 is the largest year on record at $2,834, 2.1 times the $1,370 reported in 2019.
Across 105 payments — averaging $123.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Alphatec Spine, Inc$3K
- Providence Medical Technology, Inc.$3K
- Pylant Medical$1K
- Si-bone, Inc.$822
- Medtronic$763
- plus $1K from 10 others
What the payments were for
- Travel & lodging$6,99754%
- Food & beverage$4,88238%
- Education$1,0448%
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 | 32 | $3,318 |
| Alphatec Spine, Inc | 11 | $2,955 |
| Providence Medical Technology, Inc. | 12 | $2,695 |
| Pylant Medical | 1 | $1,044 |
| Si-bone, Inc. | 11 | $822 |
| Medtronic(2 entities) | 15 | $763 |
| Centinel Spine, LLC | 5 | $501 |
| Relievant Medsystems, Inc. | 5 | $306 |
| Orthofix Medical, Inc. | 2 | $152 |
| Boston Scientific | 4 | $106 |
| Surgalign Spine Technologies, Inc. | 1 | $72 |
| Acuity Surgical Devices, LLC | 2 | $70 |
| Spineology Inc. | 1 | $42 |
| Davol Inc. | 1 | $32 |
| Sonex Health, Inc. | 1 | $25 |
| Saluda Medical Americas, Inc. | 1 | $20 |
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.
- Other - Miscellaneous$2,505
- EVEREST SPINAL SYSTEM$1,356
- Intracept$479
- CAPRI$459
- MESA$459
- YUKON$459
- VLIFT$459
- SERRATO$459
- N/A$343
- CASCADIA INTERBODY SYSTEM$271
- PRODISC C VIVO$172
- Endoskeleton-L$146
- PRODISC L$130
- M6-C$128
- iFuse Implant$128
- VISUALASE$124
- LIF$119
- INTELLIS$111
- O-ARM-Spine$100
How this compares
$12,923 in reported general payments places this provider in the 55th percentile of 21 orthopaedic surgery of the spine providers in Oklahoma.
See all orthopaedic surgery of the spine providers in Oklahoma →
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 |
|---|---|---|
| Gabapentin | 223 | $2,190 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 117 | $1,160 |
| Methocarbamol | 56 | $260 |
| Methylprednisolone | 28 | $195 |
| Duloxetine Hcl | 20 | $111 |
| Meloxicam | 14 | $81 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Stillwater
- Winston FongOklahoma City$758K
- Steven AnagnostTulsa$522K
- Cheng-Lun SooOklahoma City$327K
- Brett BralyOklahoma City$279K
- Jeffrey MooreOklahoma City$198K
- Kris ParchuriTulsa$178K
- Kevin WileyOklahoma City$39K
- Cody GriffinOklahoma City$21K
- Cameron ShiraziOklahoma City$15K
- Jason SparksTulsa$9K
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.