Bradley Spiegel, MD
Anesthesiology · Thousand Oaks, CANPI 1760491039
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $8,134 of the $9,189 with a category attached, or 88.5%. It is spread thinly across 27 manufacturers, the largest accounting for just 21.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $2,389 and has fallen 57.9% since, to $1,006 in 2025. Among anesthesiology clinicians in CA 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.
Across 235 payments — averaging $39.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$2K
- Nalu Medical, Inc.$2K
- Vertiflex, Inc.$1K
- Abbott$935
- Boston Scientific$568
- Globus Medical$557
- plus $2K from 21 others
What the payments were for
- Travel & lodging$1,05511%
- Food & beverage$8,13489%
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 |
|---|---|---|
| Nevro Corp. | 42 | $1,976 |
| Nalu Medical, Inc. | 55 | $1,741 |
| Vertiflex, Inc. | 9 | $1,237 |
| Abbott | 30 | $935 |
| Boston Scientific | 26 | $568 |
| Globus Medical | 14 | $557 |
| Medtronic | 14 | $487 |
| SPR Therapeutics, Inc | 7 | $331 |
| Biotronik NRO, Inc. | 3 | $240 |
| Camber Spine Technologies LLC | 1 | $235 |
| Stryker | 3 | $146 |
| Painteq LLC | 5 | $130 |
| Curonix LLC | 1 | $98 |
| Sonex Health, Inc. | 1 | $84 |
| Collegium Pharmaceutical, Inc. | 4 | $74 |
| Arbor Pharmaceuticals, Inc. | 3 | $62 |
| AstraZeneca | 4 | $52 |
| Biohaven Pharmaceuticals, Inc. | 2 | $44 |
| Amgen | 2 | $38 |
| Stimwave Technologies Incorporated | 2 | $38 |
| Saluda Medical Americas, Inc. | 1 | $22 |
| Pacira Therapeutics, Inc. | 1 | $21 |
| AbbVie | 1 | $16 |
| Sentynl Therapeutics, Inc. | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Pfizer | 1 | $13 |
| Shionogi Inc | 1 | $13 |
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.
How this compares
$9,189 in reported general payments places this provider in the 95th percentile of 5,717 anesthesiology providers in California.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 86 | $1,833 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 37 | $938 |
| Oxycodone Hcl | 32 | $931 |
| Celecoxib | 32 | $729 |
| Morphine Sulfate ErMorphine Sulfate | 13 | $203 |
| Gabapentin | 16 | $185 |
| Tramadol Hcl | 13 | $152 |
| Cyclobenzaprine Hcl | 15 | $88 |
Paid to pharmacies, not to this prescriber.
Other anesthesiology in Thousand Oaks
- Jack JengSouth San Francisco$1.3M
- Roger PhillipsChico$434K
- David DeyhimyLaguna Hills$344K
- Maxime CannessonLos Angeles$336K
- Alexander RoherSan Diego$282K
- Moody MakarLos Angeles$252K
- Jonathan JahrLos Angeles$223K
- Amir ShbeebLong Beach$216K
- Lawrence ChuStanford$205K
- Hendrikus LemmensStanford$200K
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.