Blake Spindler, MD
Colon & Rectal Surgery · Huntsville, ALNPI 1205198264
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,086 of the $6,379 with a category attached, or 64.0%. 29 manufacturers reported payments, led by Stryker at 28.8% of the total. Reporting peaked in 2022 at $1,789 and has fallen 69.1% since, to $552 in 2025.
Across 99 payments — averaging $64.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Intuitive Surgical$2K
- Medtronic$447
- Baxter Healthcare$254
- Davol Inc.$228
- Johnson & Johnson$196
- plus $2K from 23 others
What the payments were for
- Travel & lodging$2,29336%
- Food & beverage$4,08664%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 5 | $1,839 |
| Intuitive Surgical | 21 | $1,762 |
| Medtronic | 12 | $447 |
| Baxter Healthcare | 3 | $254 |
| Davol Inc. | 2 | $228 |
| Johnson & Johnson | 7 | $196 |
| La Jolla Pharmaceutical Company | 6 | $171 |
| Fujifilm Healthcare Americas Corporation | 1 | $151 |
| Olympus America Inc. | 1 | $146 |
| TELA Bio, Inc. | 3 | $145 |
| KCI USA, Inc. | 2 | $139 |
| Axonics, Inc. | 7 | $115 |
| Integra Lifesciences Corporation | 5 | $109 |
| Janssen Scientific Affairs, LLC | 1 | $98 |
| Kerecis Limited | 3 | $88 |
| Tetraphase Pharmaceuticals, Inc. | 1 | $84 |
| Coloplast | 2 | $84 |
| Conmed Corporation | 2 | $45 |
| Ferring Pharmaceuticals Inc. | 3 | $45 |
| Braintree Laboratories, Inc. | 2 | $43 |
| Convatec Inc. | 2 | $33 |
| AbbVie | 1 | $29 |
| Concordia Pharmaceuticals Inc. | 1 | $23 |
| Redhill Biopharma Inc. | 1 | $23 |
| Myriad Genetic Laboratories, Inc. | 1 | $22 |
| RTI Surgical, Inc | 1 | $19 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $17 |
| Zyla Life Sciences, Inc. | 1 | $16 |
| THD America, Inc. | 1 | $8 |
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.
- SPY-PHI SYSTEM$1,576
- Da Vinci Surgical System$1,335
- Phasix Mesh$199
- PerClot$195
- INTERSTIM$184
- FUJIFILM$151
- 1688$149
- EVIS EXERA lll COLONOVIDEOSCOPE$146
- PREVENA$125
- VAC VERAFLO$125
- INFRAVISION IMAGING SYSTEM$114
How this compares
Too few colon & rectal surgery providers in Alabamato 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 |
|---|---|---|
| Mesalamine | 12 | $8,212 |
| CholestyramineCholestyramine (With Sugar) | 15 | $858 |
| Oxycodone Hcl | 60 | $265 |
| Metronidazole | 17 | $149 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $84 |
| Levofloxacin | 16 | $63 |
| Tramadol Hcl | 28 | $58 |
Paid to pharmacies, not to this prescriber.
Other colon & rectal surgery in Huntsville
- Andrew MitchellHuntsville$8K
- Javad GolzarianHuntsville$8K
- Stephen ClarkHuntsville$8K
- Robert CampbellHuntsville$1K
- William NuessleHuntsville$34
- Isaac PayneMobile$163K
- Paul RiderMobile$37K
- John HunterMobile$33K
- Gregory KennedyBirmingham$21K
- Rachel SaboBirmingham$8K
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.