Courtney Toombs, MD
Orthopaedic Surgery of the Spine · New Haven, CTNPI 1346777992
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,339 of the $6,346 with a category attached, or 84.1%. It is spread thinly across 22 manufacturers, the largest accounting for just 23.3% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in CT, where the typical reported total is $9,632.
Across 96 payments — averaging $66.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$1K
- Medtronic$980
- Boston Scientific$857
- DJO, LLC$698
- Si-bone, Inc.$452
- Stryker$263
- plus $2K from 16 others
What the payments were for
- Travel & lodging$1,00716%
- Food & beverage$5,33984%
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 |
|---|---|---|
| Globus Medical(2 entities) | 14 | $1,476 |
| Medtronic | 19 | $980 |
| Boston Scientific | 13 | $857 |
| DJO, LLC | 13 | $698 |
| Si-bone, Inc. | 4 | $452 |
| Stryker | 4 | $263 |
| Zimvie Inc. | 4 | $233 |
| Johnson & Johnson | 4 | $220 |
| Centinel Spine, LLC | 4 | $210 |
| Orthofix Medical, Inc. | 4 | $196 |
| Arteriocyte Medical Systems, Inc. | 1 | $169 |
| Alphatec Spine, Inc | 1 | $132 |
| Abbott | 1 | $129 |
| Providence Medical Technology, Inc. | 1 | $100 |
| VB Spine LLC | 2 | $87 |
| Avanos Medical | 1 | $31 |
| Intrinsic Therapeutics | 1 | $26 |
| Heron Therapeutics, Inc. | 1 | $23 |
| Spine Wave, Inc. | 1 | $21 |
| Nevro Corp. | 1 | $18 |
| Saluda Medical Americas, Inc. | 1 | $17 |
| SPR Therapeutics, Inc | 1 | $8 |
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.
- RISE-L . RISE-L A/L$773
- CMF$391
- STEALTHSTATION S8 PLATFORM$302
- RELINE$274
- WaveWriter Alpha Prime 16$216
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$172
- EVEREST SPINAL SYSTEM$170
- Magellan$169
- XLIF$152
- CREO 5.5$142
- Vital$139
- Other - Miscellaneous$132
- PROCLAIM$129
- Teligen$125
- Spinal-Stim$107
How this compares
$6,346 in reported general payments places this provider in the 35th percentile of 25 orthopaedic surgery of the spine providers in Connecticut.
See all orthopaedic surgery of the spine providers in Connecticut →
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 |
|---|---|---|
| Cyclobenzaprine Hcl | 26 | $125 |
| Gabapentin | 13 | $45 |
| Meloxicam | 21 | $34 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in New Haven
- Daniel RubioNew Haven$39K
- Raj GalaNew Haven$21K
- Gerard GirasoleTrumbull$2.1M
- Jeffrey BashMiddletown$840K
- Steven McAnanyStamford$172K
- Shirvinda WijesekeraHamden$168K
- Alex GitelmanStamford$158K
- David BombackDanbury$95K
- Robert StocktonWallingford$71K
- Lane SperoTorrington$68K
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.