David Kramer, MD
Orthopaedic Surgery of the Spine · Danbury, CTNPI 1649299454
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Spine Wave, Inc. at 40.9% of the total. Reporting peaked in 2021 at $5,265 and has fallen 91.6% since, to $440 in 2025.
Across 102 payments — averaging $132.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spine Wave, Inc.$6K
- Globus Medical$3K
- Medical Device Business Services, Inc.$2K
- 4web, Inc.$1K
- Johnson & Johnson$543
- Cerapedics Inc.$529
- plus $991 from 16 others
Across 7 payments — averaging $2107.14 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.
- Elutia, Inc.$15K
What the payments were for
- Consulting fees$7,94359%
- Travel & lodging$1,82313%
- Food & beverage$3,63527%
- Education$1241%
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 |
|---|---|---|
| Spine Wave, Inc. | 17 | $5,533 |
| Globus Medical(2 entities) | 22 | $2,797 |
| Medical Device Business Services, Inc. | 2 | $2,009 |
| 4web, Inc. | 2 | $1,123 |
| Johnson & Johnson | 18 | $543 |
| Cerapedics Inc. | 5 | $529 |
| Medtronic(2 entities) | 9 | $311 |
| Stryker | 3 | $122 |
| Biocomposites Inc | 2 | $77 |
| Orthofix Medical, Inc. | 6 | $73 |
| DJO, LLC | 2 | $63 |
| Ulrich Medical USA, Inc. | 1 | $57 |
| Boston Scientific | 2 | $45 |
| Si-bone, Inc. | 2 | $43 |
| Spinal Simplicity, LLC | 1 | $37 |
| Zimvie Inc. | 1 | $31 |
| Pfizer | 2 | $30 |
| Zimmer Biomet | 1 | $26 |
| Surgalign Spine Technologies, Inc. | 1 | $24 |
| Abbott | 1 | $24 |
| Augmedics Inc. | 1 | $15 |
| Relievant Medsystems, Inc. | 1 | $12 |
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.
- SALVO SPINE SYSTEM$2,800
- Excelsius - GPS$1,823
- SPINE TRUSS SYSTEM$1,123
- NI-LOCK ANTERIOR CERVICAL PLATE SYSTEM$1,104
- PROFICIENT POSTERIOR CERVICAL SPINE SYSTEM$750
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$418
- FIBERGRAFT BG Morsels$149
- RISE$141
- Teligen$134
- SPINAL IMPLANT$121
- UNID_PASS$115
- Excelsius Robotics System$115
- RELINE$102
- ALIF$102
How this compares
$13,526 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| Celecoxib | 54 | $703 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 43 | $537 |
| Gabapentin | 41 | $448 |
| Prednisone | 75 | $179 |
| Mupirocin | 17 | $121 |
| Tramadol Hcl | 33 | $95 |
| Methocarbamol | 16 | $84 |
| Methylprednisolone | 12 | $80 |
| Cyclobenzaprine Hcl | 14 | $74 |
| Meloxicam | 20 | $74 |
| Diazepam | 17 | $39 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Danbury
- David BombackDanbury$95K
- Gerard GirasoleTrumbull$2.1M
- Jeffrey BashMiddletown$840K
- Steven McAnanyStamford$172K
- Shirvinda WijesekeraHamden$168K
- Alex GitelmanStamford$158K
- Robert StocktonWallingford$71K
- Lane SperoTorrington$68K
- Joseph SohnMiddletown$59K
- Daniel RubioNew Haven$39K
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.