Has Alexander Vaccaro received payments from drug or device companies?

Yes. Drug and device makers reported $4,520,263 in general payments to Alexander Vaccaro across 477 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 Vaccaro 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 Vaccaro 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 Vaccaro

Orthopaedic Surgery · Philadelphia, PANPI 1932148798

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $4,213,229 of the $4,520,263 with a category attached, or 93.2%. Stryker accounts for 75.1% of it on its own, with 41 other manufacturers making up the rest. Reporting peaked in 2019 at $959,774 and has fallen 91.7% since, to $79,737 in 2025. Among orthopaedic surgery clinicians in PA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$4,520,263in general payments, 2019–2025

Across 477 payments — averaging $9476.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Stryker$3.4M
Medtronic$621K
Globus Medical$324K
Atlas Spine, Inc.$70K
Medical Device Business Services, Inc.$27K
Alphatec Spine, Inc$25K
plus $59K from 36 others

$822,646in research payments, 2019–2025

Across 22 payments — averaging $37,393 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.

Spinal Elements, Inc.$816K
Medical Device Business Services, Inc.$5K
Vertex$2K

What the payments were for

Royalty or licence$4,213,22993%
Consulting fees$167,8024%
Speaking & faculty fees$29,3961%
Travel & lodging$74,4472%
Food & beverage$25,0061%
Entertainment$10,3840%

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	135	$3,394,493
Medtronic(2 entities)	42	$620,931
Globus Medical(2 entities)	108	$324,164
Atlas Spine, Inc.	11	$69,618
Medical Device Business Services, Inc.	13	$27,183
Alphatec Spine, Inc	11	$24,533
Curiteva, Inc.	5	$13,814
Integrity Implants Inc. Dba Accelus	17	$11,298
VB Spine LLC	3	$7,211
Spine Wave, Inc.	17	$6,436
Ferring Pharmaceuticals Inc.	6	$5,340
Spinal Elements, Inc.	33	$2,856
Synthes GmbH	5	$2,674
GE HealthCare	1	$2,073
Edwards Lifesciences	2	$1,139
Surgalign Spine Technologies, Inc.	7	$846
Intrinsic Therapeutics	3	$505
Zimmer Biomet	5	$490
Royal Biologics, Inc.	1	$462
Abbott	6	$431
Integrity Implants Inc.	3	$389
Bioventus LLC	3	$357
Providence Medical Technology, Inc.	4	$333
Johnson & Johnson(2 entities)	5	$317
Orthofix Medical, Inc.	4	$315
Smith+Nephew	5	$315
Curvafix, Inc.	3	$229
Carlsmed, Inc.	1	$194
Camber Spine Technologies LLC	1	$194
Baxter Healthcare	2	$185
MML US, Inc.	1	$165
Augmedics Inc.	1	$152
Acuity Surgical Devices, LLC	1	$119
KCI USA, Inc.	1	$97
Carbofix Spine Inc	1	$93
Zimvie Inc.	1	$90
Eclipse Technology Solutions Inc.	1	$70
Pacira Pharmaceuticals Incorporated	2	$47
DJO, LLC	2	$36
Osteocentric Technologies, Inc.	1	$25
Biocomposites Inc	2	$24
Reel Surgical, Inc.	1	$19

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.

SERRATO$2,417,939
XIA$808,990
RIALTO SI FUSION SYSTEM$334,720
RIALTO$279,012
XPAND$157,216
XIA 3$156,110
TRITANIUM$87,430
CREO$71,144
ES2$43,088
AERO$42,980
Hi-JAK Cervical$33,576
Other - Miscellaneous$24,488
ELSA$18,700
CASCADIA INTERBODY SYSTEM$17,625
HiJAK AC$11,291
Velys$8,856
HiJAK$8,803
CREO MCS, Fenestrated, Sideloading$8,511
HiJAK AC Cervical$8,110
HiJAK Cervical$7,838

How this compares

$4,520,263 in reported general payments places this provider in the 95th percentile of 1,048 orthopaedic surgery providers in Pennsylvania.

See all orthopaedic surgery providers in Pennsylvania →

Other orthopaedic surgery in Philadelphia

John FenlinPhiladelphia$5.9M
Joseph AbboudPhiladelphia$3.9M
Samir MehtaPhiladelphia$3.6M
Surena NamdariPhiladelphia$1.8M
Neil ShethPhiladelphia$522K
Amrit KhalsaPhiladelphia$475K
Vahid EntezariPhiladelphia$393K
Charles NelsonPhiladelphia$345K
David GlaserPhiladelphia$176K
Anthony NduPhiladelphia$173K

See the full list for Pennsylvania →

Where these figures come from

Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
Identity: NPPES NPI Registry, July 2026.

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