Dale Segal, MD
Orthopaedic Surgery of the Spine · Fort Myers, FLNPI 1871988279
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Medtronic accounts for 63.7% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2024 at $25,461 and has fallen 78.9% since, to $5,375 in 2025.
Across 145 payments — averaging $350.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$32K
- Globus Medical$16K
- Stryker$1K
- Boston Scientific$441
- Baxter Healthcare$233
- Orthofix Medical, Inc.$155
- plus $214 from 3 others
What the payments were for
- Consulting fees$23,65047%
- Speaking & faculty fees$13,20026%
- Travel & lodging$7,55115%
- Food & beverage$6,31812%
- Other$850%
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 |
|---|---|---|
| Medtronic(2 entities) | 56 | $32,352 |
| Globus Medical(2 entities) | 60 | $16,146 |
| Stryker | 14 | $1,263 |
| Boston Scientific | 5 | $441 |
| Baxter Healthcare | 2 | $233 |
| Orthofix Medical, Inc. | 1 | $155 |
| Nevro Corp. | 2 | $105 |
| Radius Health, Inc. | 4 | $86 |
| Heron Therapeutics, Inc. | 1 | $24 |
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.
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$8,731
- CD HORIZON SPINAL SYSTEM$5,900
- XLIF$2,856
- O-ARM$679
- UNID_PASS$624
- TRITANIUM$425
- MaXcess$303
- Excelsius - GPS$288
- Hedron$283
- ALIF$186
- UNiD$174
- OASYS$172
- CAPRI CORPECTOMY CAGE SYSTEM$172
- LATERALALIF$166
- MAZOR X SYSTEM$161
- T2$160
- BASE$158
- ACP$158
- 7D Surgical System$155
- TISSEEL$148
How this compares
$50,804 in reported general payments places this provider in the 65th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 154 | $1,969 |
| Gabapentin | 192 | $1,023 |
| Diclofenac Sodium | 13 | $334 |
| Methylprednisolone | 12 | $84 |
| Meloxicam | 34 | $53 |
| Mupirocin | 12 | $52 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Fort Myers
- Harry ShufflebargerMiami$3.5M
- Paul KellerMelbourne$3.4M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
- Samuel JosephSafety Harbor$1.7M
- Thomas ErricoMiami$1.6M
- Constantine ToumbisCrystal River$1.6M
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.