Constantine Toumbis, MD
Orthopaedic Surgery of the Spine · Crystal River, FLNPI 1386781409
Payments from drug & device makers
Across 76 payments — averaging $21,388 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Hyhte Holdings Inc.$995K
- Alphatec Spine, Inc$629K
- Stryker$308
- VB Spine LLC$188
- Medtronic$106
- Spineology Inc.$67
- plus $157 from 6 others
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 |
|---|---|---|
| Hyhte Holdings Inc. | 7 | $995,488 |
| Alphatec Spine, Inc | 51 | $629,141 |
| Stryker | 4 | $308 |
| VB Spine LLC | 1 | $188 |
| Medtronic | 5 | $106 |
| Spineology Inc. | 1 | $67 |
| Aesculap Implant Systems, LLC | 1 | $47 |
| Amgen | 2 | $36 |
| Merit Medical Systems Inc | 1 | $24 |
| Si-bone, Inc. | 1 | $24 |
| Convatec Inc. | 1 | $14 |
| Zimmer Biomet | 1 | $13 |
How this compares
$1,625,457 in reported general payments places this provider in the 90th percentile of 159 orthopaedic surgery of the spine providers in Florida.
See all orthopaedic surgery of the spine providers in Florida →
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 Crystal River
- Harry ShufflebargerMiami$3.5M
- Paul KellerMelbourne$3.4M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Samuel JosephSafety Harbor$1.8M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
- Thomas ErricoMiami$1.6M
- Victor HayesOdessa$1.3M
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.