Alex Spencer, MD
Surgery · Coos Bay, ORNPI 1982088464
Payments from drug & device makers
Across 55 payments — averaging $132.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$7K
- Cook Medical LLC$106
- Davol Inc.$29
- Medtronic$22
What the payments were for
- Travel & lodging$3,85353%
- Food & beverage$1,61622%
- Education$1,81425%
- Gifts$160%
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 |
|---|---|---|
| Intuitive Surgical | 52 | $7,142 |
| Cook Medical LLC | 1 | $106 |
| Davol Inc. | 1 | $29 |
| Medtronic | 1 | $22 |
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.
- Da Vinci Surgical System$4,499
- DAVINCI XI$1,750
- Cook Medical AFEN$106
How this compares
$7,299 in reported general payments places this provider in the 70th percentile of 386 surgery providers in Oregon.
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 |
|---|---|---|
| SutabSod Sulf/Pot Chloride/Mag Sulf | 15 | $2,361 |
| Oxycodone Hcl | 40 | $237 |
Paid to pharmacies, not to this prescriber.
Other surgery in Coos Bay
- Robert MartindalePortland$801K
- Edward BoyleBend$695K
- Sean OrensteinPortland$576K
- Timothy BeardBend$401K
- Vahagn NikolianPortland$277K
- Ann RustHermiston$173K
- Sabrina DrexelPortland$170K
- Chet HammillPortland$161K
- Avishai MeyerPortland$159K
- Farah HusainPortland$147K
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.