Alexander Hughes, MD
Orthopaedic Surgery of the Spine · New York, NYNPI 1043488281
Payments from drug & device makers
What this record shows
This record is dominated by grants: $25,000 of the $29,378 with a category attached, or 85.1%. MML US, Inc. accounts for 85.6% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $28,392, more than ten times the $152 reported in 2019.
Across 16 payments — averaging $1836.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- MML US, Inc.$25K
- Alphatec Spine, Inc$3K
- Kuros Biosciences USA, Inc$288
- Globus Medical$152
- Arteriocyte Medical Systems, Inc.$144
- Orthofix Medical, Inc.$143
- plus $258 from 2 others
Across 13 payments — averaging $10,614 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$138K
What the payments were for
- Grants$25,00085%
- Travel & lodging$3,20511%
- Food & beverage$1,1734%
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 |
|---|---|---|
| MML US, Inc. | 2 | $25,141 |
| Alphatec Spine, Inc | 7 | $3,252 |
| Kuros Biosciences USA, Inc | 1 | $288 |
| Globus Medical | 2 | $152 |
| Arteriocyte Medical Systems, Inc. | 1 | $144 |
| Orthofix Medical, Inc. | 1 | $143 |
| 4web, Inc. | 1 | $136 |
| Pacira Pharmaceuticals Incorporated | 1 | $122 |
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.
- ReActiv8$25,141
- Other - Miscellaneous$3,128
- Magellan$144
- OsteoStrand Plus$143
- SPINE TRUSS SYSTEM$136
- EXPAREL$122
How this compares
$29,378 in reported general payments places this provider in the 60th 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
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.
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
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.