Christopher Cain, MD
Orthopaedic Surgery of the Spine · Aurora, CONPI 1427367861
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $3,217,967 of the $3,323,901 with a category attached, or 96.8%. Depuy Synthes Products, Inc. accounts for 88.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2019 at $761,562 and has fallen 53.8% since, to $351,949 in 2025. Among orthopaedic surgery of the spine clinicians in CO 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 281 payments — averaging $11,829 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$2.9M
- Orthofix Medical, Inc.$270K
- Seaspine Orthopedics Corporation$120K
- Johnson & Johnson$523
- Centinel Spine, LLC$110
- Kyocera Medical Technologies, Inc.$66
- plus $125 from 4 others
Across 3 payments — averaging $25,663 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.
- Medical Device Business Services, Inc.$66K
- Seaspine Orthopedics Corporation$11K
What the payments were for
- Royalty or licence$3,217,96797%
- Consulting fees$85,1963%
- Travel & lodging$12,8980%
- Food & beverage$7,8050%
- Gifts$350%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 30 | $2,933,659 |
| Orthofix Medical, Inc. | 94 | $269,645 |
| Seaspine Orthopedics Corporation | 143 | $119,772 |
| Johnson & Johnson | 7 | $523 |
| Centinel Spine, LLC | 1 | $110 |
| Kyocera Medical Technologies, Inc. | 1 | $66 |
| Theradaptive, Inc. | 2 | $61 |
| Boston Scientific | 1 | $25 |
| AbbVie | 1 | $24 |
| Innovation Technologies Inc | 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.
- SYNFIX Evolution$1,592,756
- SYNFIX$1,340,952
- Mariner Outrigger$119,024
- Physio-Stim$90,132
- Mariner Deformity$68,906
- Mariner$50,411
- Meridian$22,216
- MISCELLANEOUS$15,192
- Vu aPOD Prime$7,500
- Atoll OCT System$5,125
- Vu aPOD Prime NanoMetalene$913
- Lattus$797
- Reef TA$550
- Regatta$402
- Strand$250
- SYMPHONY$145
- Firebird SI Navigation System$136
- USS$132
- PRODISC C$110
- NanoMetalene Technology$107
How this compares
$3,323,901 in reported general payments places this provider in the 95th percentile of 69 orthopaedic surgery of the spine providers in Colorado.
See all orthopaedic surgery of the spine providers in Colorado →
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 of the spine in Aurora
- Christopher KleckAurora$469K
- David Ou-YangAurora$339K
- Mark EricksonAurora$257K
- Vikas PatelAurora$224K
- Evalina BurgerAurora$90K
- Evan FeneAurora$57K
- Kendra LastowkaAurora$51K
- Stephen PehlerAurora$42K
- Nolan WessellAurora$26K
- Collin WalshAurora$9K
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.