David Spiro, DO
Neurological Surgery · Hartford, CTNPI 1932343324
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $8,185 of the $12,882 with a category attached, or 63.5%. Stryker accounts for 73.1% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $6,324, 3.4 times the $1,865 reported in 2019.
Across 90 payments — averaging $143.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$9K
- MIS Technologies, LLC$1K
- Integrity Implants Inc.$757
- Orthofix Medical, Inc.$456
- Cerapedics Inc.$350
- Si-bone, Inc.$164
- plus $654 from 8 others
What the payments were for
- Travel & lodging$8,18564%
- Food & beverage$4,65236%
- Gifts$440%
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 |
|---|---|---|
| Stryker | 56 | $9,410 |
| MIS Technologies, LLC | 1 | $1,090 |
| Integrity Implants Inc. | 9 | $757 |
| Orthofix Medical, Inc. | 10 | $456 |
| Cerapedics Inc. | 2 | $350 |
| Si-bone, Inc. | 1 | $164 |
| Johnson & Johnson | 3 | $160 |
| Ossdsign USA Incorporated | 1 | $155 |
| Globus Medical | 1 | $115 |
| Integrity Implants Inc. Dba Accelus | 1 | $78 |
| Zimmer Biomet | 2 | $67 |
| Zimvie Inc. | 1 | $34 |
| Azurity Pharmaceuticals, Inc. | 1 | $25 |
| Livanova USA, Inc. | 1 | $21 |
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.
- MAKO$5,758
- Eminent Spine Oblique Lateral Lumbar Inter-body Fusion Device$1,090
- EVEREST SPINAL SYSTEM$1,054
- FlareHawk$556
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$350
- SPINEMAP$308
- N/A$251
- Spinal-Stim$250
- NAPA$158
- OssDsign Catalyst$155
- CAPRI CORPECTOMY CAGE SYSTEM$154
- M6-C$150
- SPINEJACK$131
- ALEUTIAN INTERBODY SYSTEMS$122
- Excelsius Robotics System$115
- BRAINLAB$114
- MONTEREY AL$112
- CASCADIA INTERBODY SYSTEM$102
How this compares
$12,882 in reported general payments places this provider in the 70th percentile of 94 neurological surgery 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.
Other neurological surgery in Hartford
- Eric SussmanHartford$71K
- Shane BurkeHartford$55K
- Paul SchwartzHartford$9K
- Kaveh BaramiHartford$8K
- Javed Khader EliyasHartford$7K
- Kristopher KahleHartford$4K
- Inam KureshiHartford$2K
- Murat GunelNew Haven$839K
- Sanjay RathiNorth Haven$541K
- Patrick SenatusSouth Windsor$309K
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.