Clay Spitler
Orthopaedic Trauma · Birmingham, ALNPI 1356518617
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $60,237 of the $84,844 with a category attached, or 71.0%. Medical Device Business Services, Inc. accounts for 71.5% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $25,064 and has fallen 82.8% since, to $4,301 in 2025.
Across 241 payments — averaging $352.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$61K
- Synthes GmbH$11K
- Osteocentric Technologies, Inc.$4K
- Smith+Nephew$3K
- Johnson & Johnson$3K
- KCI USA, Inc.$1K
- plus $998 from 11 others
Across 44 payments — averaging $3813.61 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.
- Next Science LLC$92K
- Stryker$44K
- Medical Device Business Services, Inc.$32K
What the payments were for
- Consulting fees$60,23771%
- Speaking & faculty fees$8,60010%
- Travel & lodging$9,29311%
- Food & beverage$6,7138%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 44 | $60,639 |
| Synthes GmbH | 12 | $11,034 |
| Osteocentric Technologies, Inc. | 4 | $4,016 |
| Smith+Nephew | 49 | $3,460 |
| Johnson & Johnson(2 entities) | 101 | $3,381 |
| KCI USA, Inc. | 3 | $1,316 |
| Stryker | 8 | $574 |
| Si-bone, Inc. | 4 | $94 |
| Bioventus LLC | 6 | $92 |
| Illuminoss Medical, Inc. | 2 | $56 |
| Biedermann Motech, Inc. | 1 | $54 |
| Solventum Corporation | 1 | $26 |
| Zimmer Biomet | 2 | $23 |
| Aroa Biosurgery Incorporated | 1 | $23 |
| Acera Surgical, Inc. | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $16 |
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.
- IM NAILS$9,361
- EVOS$2,756
- NA$2,471
- PREVENA$1,250
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$1,000
- TRIGEN InterTAN$891
- PREVENA RESTOR AXIO-FORM$850
- LCP$819
- EX NAILS$798
- META TAN$765
- LCP PLATES & SCREWS$553
- TFN-Advance$382
- MAVERICK$271
- RIA$249
- TFN ADVANCED$244
- EXPert Nail$203
- Taylor Spatial Frame$185
- PELVIS II$158
- VARIAX$150
- T2$128
How this compares
Too few orthopaedic trauma 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 |
|---|---|---|
| Gabapentin | 33 | $320 |
| Methocarbamol | 23 | $149 |
| Oxycodone Hcl | 28 | $121 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic trauma in Birmingham
- Karen HandBirmingham$12K
- Michael HoneycuttHuntsville$11K
- David GriffinHuntsville$3K
- Parker WhiteMobile$3K
- Jason CobbSelma$2K
- Sudhakar MadanagopalHuntsville$2K
- Robert MaplesHuntsville$1K
- Sean OwenOpp$1K
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.