Christopher Spivey, CRNA
Nurse Anesthetist, Certified Registered · Macon, GANPI 1114299492
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 55 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 17 manufacturers reported payments, led by Teleflex LLC at 35.7% of the total. Reporting peaked in 2021 at $641 and has fallen 88.7% since, to $73 in 2025. Among nurse anesthetist, certified registered clinicians in GA 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 55 payments — averaging $31.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Teleflex LLC$626
- Medtronic$321
- Boston Scientific$256
- Myovant Sciences Inc.$172
- AstraZeneca$65
- Inspire Medical Systems, Inc.$58
- plus $253 from 11 others
What the payments were for
- Food & beverage$1,751100%
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 |
|---|---|---|
| Teleflex LLC | 13 | $626 |
| Medtronic | 9 | $321 |
| Boston Scientific | 4 | $256 |
| Myovant Sciences Inc. | 11 | $172 |
| AstraZeneca | 4 | $65 |
| Inspire Medical Systems, Inc. | 1 | $58 |
| Urogen Pharma, Inc. | 2 | $44 |
| Ambu Inc. | 1 | $33 |
| Antares Pharma, Inc. | 2 | $33 |
| Dendreon Pharmaceuticals LLC | 1 | $22 |
| Glaukos Corporation | 1 | $22 |
| Rochester Medical Corporation | 1 | $20 |
| Urovant Sciences Inc | 1 | $17 |
| Olympus America Inc. | 1 | $16 |
| Sumitomo Pharma America, Inc. | 1 | $16 |
| Bayer | 1 | $16 |
| Agiliti Surgical, Inc. | 1 | $14 |
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.
- UroLift$273
- GENERAL - THERAPIES$119
How this compares
$1,751 in reported general payments places this provider in the 95th percentile of 1,374 nurse anesthetist, certified registered providers in Georgia.
See all nurse anesthetist, certified registered providers in Georgia →
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 nurse anesthetist, certified registered in Macon
- Heather BrooksMacon$4K
- Markus RobersonMacon$2K
- Alyssa SyribeysMacon$2K
- David LaguardiaNewnan$22K
- Todd HorsleyAthens$4K
- Avis DuncanMcDonough$3K
- Laura CarmichaelGainesville$3K
- Kerry MetcalfDemorest$3K
- Dwayne SmithAtlanta$3K
- Oleg GirenDecatur$3K
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.