Andrew Pugely, MD
Orthopaedic Surgery of the Spine · Iowa City, IANPI 1508185521
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (47.0%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Globus Medical accounts for 68.3% of it on its own, with 7 other manufacturers making up the rest.
Across 308 payments — averaging $676.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$142K
- Medtronic$53K
- Mirus, LLC$10K
- Smaio SA$3K
- Stryker$244
- Bioventus LLC$118
- plus $44 from 2 others
Across 2 payments — averaging $87,250 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.
- Medtronic$140K
- Globus Medical$35K
What the payments were for
- Royalty or licence$97,92047%
- Consulting fees$57,11927%
- Speaking & faculty fees$17,7889%
- Travel & lodging$27,05713%
- Food & beverage$8,3304%
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 |
|---|---|---|
| Globus Medical(2 entities) | 88 | $142,282 |
| Medtronic(2 entities) | 194 | $53,050 |
| Mirus, LLC | 13 | $9,587 |
| Smaio SA | 5 | $2,888 |
| Stryker | 5 | $244 |
| Bioventus LLC | 1 | $118 |
| Covis Pharma GmbH | 1 | $28 |
| Johnson & Johnson | 1 | $15 |
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.
- SI-LOK Select$47,816
- SI-LOK$26,885
- CD HORIZON SPINAL SYSTEM$19,017
- CREO S2AI$18,486
- CREO$14,296
- ENDOSKELETON TC NANOLOCK SURFACE TECHNOLOGY$11,489
- EUROPA Pedicle Screw System$9,537
- INDEPENDENCE$9,033
- FORTIFY$6,375
- Handpiece Power System$6,375
- Battery Power System$5,950
- CYGNUS Anterior Cervical Plate$3,276
- CD HORIZON$2,700
- Excelsius - GPS$2,618
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$2,400
- ExcelsiusGPS Robotic Navigation System$1,437
- MAZOR X SYSTEM$1,393
- INDEPENDENCE MIS$1,343
- MiRus 3DR Lumbar Interbody System$1,204
- IO Expandable Lumbar Interbody$1,204
How this compares
Too few orthopaedic surgery of the spine providers in Iowato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Celecoxib | 39 | $1,420 |
| Gabapentin | 24 | $192 |
| Baclofen | 18 | $136 |
| Cyclobenzaprine Hcl | 12 | $68 |
| Tramadol Hcl | 12 | $42 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Iowa City
- Catherine OlingerIowa City$51K
- Evan LarsonIowa City$9K
- Joshua BarberCedar Rapids$112K
- Brian HandalWest Des Moines$92K
- Mark PalitClarion$19K
- Zaki IbrahimClive$19K
- Mitchell HughesWest Des Moines$9K
- Michael ChapmanDubuque$9K
- Trevor SchmitzDes Moines$6K
- Benjamin MaclennanNorth Liberty$4K
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.