Alex Gitelman, MD
Orthopaedic Surgery of the Spine · Stamford, CTNPI 1063692861
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.4%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by CTL Medical Corporation at 40.4% of the total.
Across 204 payments — averaging $772.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CTL Medical Corporation$64K
- Stryker$27K
- Sanara Medtech Inc.$20K
- Life Spine, Inc.$12K
- The Institute Of Musculoskeletal Science And Education$11K
- Zavation Medical Products, LLC$6K
- plus $17K from 18 others
Across 6 payments — averaging $17,367 each. An ownership or investment interest held by the physician or an immediate family member.
- Philadelphia Medical Management Company LLC$100K
- Expanding Innovations, Inc.$4K
What the payments were for
- Royalty or licence$48,47131%
- Consulting fees$87,23955%
- Speaking & faculty fees$4,6503%
- Travel & lodging$7,2095%
- Food & beverage$5,7004%
- Education$3,8802%
- Gifts$4410%
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 |
|---|---|---|
| CTL Medical Corporation | 38 | $63,645 |
| Stryker | 56 | $27,475 |
| Sanara Medtech Inc. | 17 | $20,009 |
| Life Spine, Inc. | 19 | $12,052 |
| The Institute Of Musculoskeletal Science And Education | 23 | $11,107 |
| Zavation Medical Products, LLC | 1 | $6,400 |
| Expanding Innovations, Inc. | 3 | $4,279 |
| Camber Spine Technologies LLC | 10 | $3,609 |
| Precision Spine, Inc. | 2 | $3,000 |
| Kowa Pharmaceuticals America, Inc. | 1 | $1,470 |
| Medtronic(2 entities) | 4 | $796 |
| Surgalign Spine Technologies, Inc. | 1 | $770 |
| Cerapedics Inc. | 8 | $714 |
| Johnson & Johnson | 1 | $675 |
| Arteriocyte Medical Systems, Inc. | 2 | $388 |
| VB Spine LLC | 3 | $302 |
| Smith+Nephew | 2 | $270 |
| Si-bone, Inc. | 3 | $225 |
| Wound Management Technologies, Inc | 2 | $153 |
| Globus Medical | 1 | $88 |
| Orthofix Medical, Inc. | 4 | $71 |
| Xtant Medical Inc | 1 | $49 |
| Boston Scientific | 1 | $25 |
| Bioventus LLC | 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.
- Spinal$39,095
- CellerateRx$19,821
- Raphael Pedicle Screw System$8,132
- ZAVATION$6,400
- N/A$6,300
- ProLift$4,967
- EVEREST SPINAL SYSTEM$4,227
- X-PAC$4,199
- BIO4$3,484
- VITOSS$3,250
- YUKON OCT SPINAL SYSTEM$3,160
- OZARK CERVICAL PLATE SYSTEM$3,000
- MODULAR PEDICLE SCREW HYBRID SYSTEM$2,500
- NIAGARA LATERAL ACCESS SYSTEM$2,500
- Seglentis$1,470
- Centerline$1,456
- Centerline Modular$1,000
- FORTILINK-C IBF SYSTEM$770
- Orthros Quarter Turn$707
- Spira$630
How this compares
$157,591 in reported general payments places this provider in the 80th percentile of 25 orthopaedic surgery of the spine providers in Connecticut.
See all orthopaedic surgery of the spine providers in Connecticut →
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 |
|---|---|---|
| Cyclobenzaprine Hcl | 148 | $1,231 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 84 | $580 |
| Oxycodone Hcl | 74 | $575 |
| Lidocaine | 12 | $515 |
| Methylprednisolone | 59 | $470 |
| Diclofenac Sodium | 21 | $399 |
| Gabapentin | 44 | $338 |
| Tramadol Hcl | 60 | $269 |
| Nabumetone | 15 | $176 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $124 |
| Hydromorphone Hcl | 11 | $89 |
| Meloxicam | 11 | $33 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Stamford
- Steven McAnanyStamford$172K
- Gerard GirasoleTrumbull$2.1M
- Jeffrey BashMiddletown$840K
- Shirvinda WijesekeraHamden$168K
- David BombackDanbury$95K
- Robert StocktonWallingford$71K
- Lane SperoTorrington$68K
- Joseph SohnMiddletown$59K
- Daniel RubioNew Haven$39K
- Raj GalaNew Haven$21K
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.