Ashraf El Naga, MD
Orthopaedic Surgery · Seattle, WANPI 1215294087
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $27,725 of the $42,629 with a category attached, or 65.0%. 20 manufacturers reported payments, led by VB Spine LLC at 48.1% of the total. 2025 is the largest year on record at $26,608, more than ten times the $108 reported in 2019. Among orthopaedic surgery clinicians in WA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 142 payments — averaging $300.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- VB Spine LLC$21K
- Kuros Biosciences USA, Inc$8K
- Si-bone, Inc.$3K
- Orthofix Medical, Inc.$2K
- Synthes GmbH$2K
- Globus Medical$2K
- plus $5K from 14 others
What the payments were for
- Consulting fees$27,72565%
- Speaking & faculty fees$3001%
- Travel & lodging$6,25315%
- Food & beverage$8,21219%
- Entertainment$1380%
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 | $20,505 |
| Kuros Biosciences USA, Inc | 21 | $8,240 |
| Si-bone, Inc. | 17 | $2,576 |
| Orthofix Medical, Inc. | 26 | $2,376 |
| Synthes GmbH | 3 | $2,044 |
| Globus Medical(2 entities) | 21 | $1,859 |
| Alphatec Spine, Inc | 3 | $1,009 |
| Johnson & Johnson | 8 | $728 |
| Stryker | 13 | $607 |
| Medical Device Business Services, Inc. | 5 | $537 |
| Spinal Elements, Inc. | 5 | $528 |
| Spineology Inc. | 3 | $372 |
| SIGN Fracture Care International | 2 | $300 |
| Spineart USA Inc | 3 | $283 |
| Neo Spine USA, Inc. | 1 | $140 |
| Carlsmed, Inc. | 1 | $135 |
| FX Shoulder Solutions, Inc | 1 | $135 |
| Camber Spine Technologies LLC | 3 | $116 |
| Curvafix, Inc. | 1 | $97 |
| Medtronic | 1 | $41 |
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.
- NIAGARA LATERAL ACCESS SYSTEM$20,475
- MagnetOs$7,365
- IFUSE IMPLANT SYSTEM$1,396
- FORZA$973
- Other - Miscellaneous$904
- Firebird$843
- Medical Devices$612
- Anthem$603
- iFuse Implant$429
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$372
- XLIF$325
- Spine & Trauma 3D Navigation$284
- Velys$269
- Mariner Deformity$257
- EXPEDIUM$251
- RELINE$180
- Autobahn$174
- FIREBIRD SFS$152
- Neo Pedicle Screw System$140
- aprevo$135
How this compares
$42,629 in reported general payments places this provider in the 90th percentile of 495 orthopaedic surgery providers in Washington.
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 in Seattle
- James PritchettSeattle$6.4M
- James CrutcherSeattle$3.5M
- Keith MayoSeattle$3.1M
- Matthew SaltzmanSeattle$1.8M
- Burt YaszaySeattle$1.3M
- Sean ToomeySeattle$1.2M
- Robert HartSeattle$942K
- Jeffrey RohSeattle$604K
- Michael BrageSeattle$496K
- Daniel SchwartzSeattle$424K
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.