Has Alexander Butler, MD received payments from drug or device companies?

Yes. Drug and device makers reported $69,886 in general payments to Alexander Butler, MD across 171 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Alexander Butler, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Alexander Butler, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Alexander Butler, MD

Orthopaedic Surgery of the Spine · New York, NYNPI 1083076053

Payments from drug & device makers

What this record shows

The money is spread across several categories — consulting fees (51.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by VB Spine LLC at 30.1% of the total. 2025 is the largest year on record at $50,818, more than ten times the $2,313 reported in 2019.

$69,886in general payments, 2019–2025

Across 171 payments — averaging $408.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

VB Spine LLC$21K
Globus Medical$15K
Stryker$9K
Alphatec Spine, Inc$8K
Augmedics Inc.$8K
Southern Edge Orthopaedics, Inc.$2K
plus $7K from 14 others

What the payments were for

Consulting fees$35,79151%
Speaking & faculty fees$6,5009%
Travel & lodging$14,70621%
Food & beverage$10,05914%
Education$2,8304%

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
VB Spine LLC	4	$21,045
Globus Medical(2 entities)	34	$14,839
Stryker	37	$8,546
Alphatec Spine, Inc	34	$8,306
Augmedics Inc.	6	$8,050
Southern Edge Orthopaedics, Inc.	3	$2,313
Medtronic	13	$1,678
Arthrex	10	$1,587
Life Spine, Inc.	2	$609
Spineology Inc.	4	$481
Curiteva, Inc.	3	$433
Medical Device Business Services, Inc.	5	$371
Suvon Surgical LLC	2	$332
Johnson & Johnson	3	$293
MML US, Inc.	2	$204
Orthofix Medical, Inc.	3	$193
Si-bone, Inc.	2	$176
Axis Spine Technologies Inc.	2	$160
DJO, LLC	1	$146
Providence Medical Technology, Inc.	1	$123

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.

Xvision$39,989
CASCADIA INTERBODY SYSTEM$14,054
EVEREST SPINAL SYSTEM$9,663
Other - Miscellaneous$5,901
CORE$3,900
XLIF$1,704
MLX$1,156
CENTRIC - T RETRACTOR$554
ProLift$554
AVATAR MINIMALLY INVASIVE SPINAL SYSTEM$554
INVICTUS OPEN$529
BIOLOGICS$433
INTELLIS ADAPTIVESTIM$393
OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$364
ES2 SPINAL SYSTEM$349
SERRATO$307
CMF$293
FIBERGRAFT BG Morsels$268
RELINE$246
Direct Look$234

How this compares

$69,886 in reported general payments places this provider in the 75th percentile of 161 orthopaedic surgery of the spine providers in New York.

See all orthopaedic surgery of the spine providers in New York →

Medicare billing

Part B allowed, 2024

$201,525

Medicare patients

254

Services billed

910

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
Ketorolac Tromethamine	18	$1,375
Meloxicam	82	$555
Oxycodone Hcl	58	$547
Pregabalin	15	$457
Methocarbamol	34	$287
Tizanidine Hcl	52	$245
Tramadol Hcl	64	$218
Methylprednisolone	22	$187
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	13	$132
Diclofenac Sodium	26	$119
Cyclobenzaprine Hcl	16	$97
Prednisone	20	$58
Diazepam	11	$43

Paid to pharmacies, not to this prescriber.

Other orthopaedic surgery of the spine in New York

Frank SchwabNew York$5.1M
Han KimNew York$3.9M
Todd AlbertNew York$2.7M
Jeffrey SpivakNew York$1.3M
Aaron BucklandNew York$1M
Sheeraz QureshiNew York$828K
Jeffrey GoldsteinNew York$765K
Fabien BitanNew York$624K
Oheneba Boachie-AdjeiNew York$313K
Harvinder SandhuNew York$266K

See the full list for New York →

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.

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