Caple Spence, MD
Neurological Surgery · Oklahoma City, OKNPI 1134157340
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $22,800 of the $31,102 with a category attached, or 73.3%. Spine Wave, Inc. accounts for 83.9% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2021 at $13,047 and has fallen 67.2% since, to $4,274 in 2025.
Across 64 payments — averaging $485.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spine Wave, Inc.$26K
- Stryker$3K
- KARL Storz Endoscopy-america$1K
- Centinel Spine, LLC$172
- Icotec Medical Inc.$107
- Carlsmed, Inc.$81
- plus $165 from 6 others
What the payments were for
- Consulting fees$22,80073%
- Travel & lodging$5,73818%
- Food & beverage$2,5648%
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 |
|---|---|---|
| Spine Wave, Inc. | 24 | $26,084 |
| Stryker | 26 | $3,119 |
| KARL Storz Endoscopy-america | 5 | $1,374 |
| Centinel Spine, LLC | 1 | $172 |
| Icotec Medical Inc. | 1 | $107 |
| Carlsmed, Inc. | 1 | $81 |
| Intrinsic Therapeutics | 1 | $45 |
| Boston Scientific | 1 | $32 |
| EBI, LLC | 1 | $27 |
| Si-bone, Inc. | 1 | $24 |
| Orthofix Medical, Inc. | 1 | $22 |
| Medtronic | 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.
- Spinal Implants$7,800
- EVEREST SPINAL SYSTEM$1,346
- CHROMOPHARE F300$1,098
- TESTA TP PIVOTING SPACER SYSTEM$1,000
- Anterior Fusion$460
- 1788$181
- N/A$181
- PRODISC C VIVO$172
- icotec BlackArmor Spine System$107
How this compares
$31,102 in reported general payments places this provider in the 80th percentile of 80 neurological surgery providers in Oklahoma.
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 | 65 | $560 |
| Cyclobenzaprine Hcl | 31 | $187 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Oklahoma City
- Brian SnellOklahoma City$3.7M
- Fadi NasrOklahoma City$1.6M
- Robert TibbsOklahoma City$537K
- Michael HahnOklahoma City$267K
- Isaac KarikariOklahoma City$137K
- Joseph CoxOklahoma City$123K
- Hakeem ShakirOklahoma City$63K
- Robert WieneckeOklahoma City$40K
- Muhammad JanjuaOklahoma City$33K
- Andrew ConnerOklahoma City$28K
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.