David Spivey
Interventional Pain Medicine · Winston-Salem, NCNPI 1275510570
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.8% of the total across 110 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 21 manufacturers reported payments, led by Medtronic at 37.9% of the total. Reporting peaked in 2019 at $796 and has fallen 87.8% since, to $97 in 2023. That places this record below the midpoint for interventional pain medicine clinicians in NC, where the typical reported total is $2,787.
Across 110 payments — averaging $18.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$780
- Abbott$417
- Boston Scientific$130
- Pfizer$118
- Collegium Pharmaceutical, Inc.$88
- Daiichi Sankyo Inc.$68
- plus $456 from 15 others
What the payments were for
- Food & beverage$2,03199%
- Education$251%
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 |
|---|---|---|
| Medtronic(2 entities) | 31 | $780 |
| Abbott | 20 | $417 |
| Boston Scientific | 7 | $130 |
| Pfizer | 13 | $118 |
| Collegium Pharmaceutical, Inc. | 5 | $88 |
| Daiichi Sankyo Inc. | 4 | $68 |
| Sentynl Therapeutics, Inc. | 4 | $61 |
| MDD US Operations, LLC | 3 | $52 |
| Takeda Pharmaceuticals U.S.A., Inc. | 5 | $51 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $44 |
| Zyla Life Sciences, Inc. | 3 | $41 |
| Forte Bio-pharma LLC | 2 | $32 |
| Vertos Medical, Inc. | 1 | $28 |
| Virtus Pharmaceuticals LLC | 2 | $27 |
| Assertio Therapeutics, Inc. | 2 | $25 |
| Si-bone, Inc. | 1 | $24 |
| Nalu Medical, Inc. | 1 | $19 |
| Johnson & Johnson | 1 | $15 |
| Shionogi Inc | 1 | $14 |
| Arbor Pharmaceuticals, Inc. | 1 | $13 |
| Biodelivery Sciences International, Inc. | 1 | $11 |
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.
- INTELLIS$125
- INTELLIS ADAPTIVESTIM$104
How this compares
$2,057 in reported general payments places this provider in the 35th percentile of 45 interventional pain medicine providers in North Carolina.
See all interventional pain medicine providers in North Carolina →
Other interventional pain medicine in Winston-Salem
- Timothy ChafinAhoskie$59K
- Robert WilsonSalisbury$37K
- John MansfieldAsheville$25K
- Erin ChaneyJacksonville$22K
- Kevin CostelloGreenville$22K
- Scott JohnstonJacksonville$20K
- Harsh GovilStatesville$19K
- Troy GingerichCharlotte$19K
- Brent HarkriderNew Bern$14K
- Carey-Walter ClossonCharlotte$14K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.