Douglas Nowacki, MD
Orthopaedic Surgery of the Spine · Ocean, NJNPI 1518302660
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,182 of the $17,401 with a category attached, or 64.3%. 27 manufacturers reported payments, led by Medtronic at 32.1% of the total. Reporting peaked in 2019 at $7,850 and has fallen 85.5% since, to $1,137 in 2025.
Across 227 payments — averaging $76.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$6K
- Stryker$4K
- Globus Medical$4K
- Providence Medical Technology, Inc.$879
- Alphatec Spine, Inc$638
- Johnson & Johnson$433
- plus $1K from 21 others
What the payments were for
- Travel & lodging$5,84134%
- Food & beverage$11,18264%
- Education$3392%
- Entertainment$390%
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) | 54 | $5,580 |
| Stryker | 39 | $4,259 |
| Globus Medical(2 entities) | 52 | $4,205 |
| Providence Medical Technology, Inc. | 21 | $879 |
| Alphatec Spine, Inc | 12 | $638 |
| Johnson & Johnson | 6 | $433 |
| DJO, LLC | 5 | $239 |
| Boston Scientific | 2 | $173 |
| Augmedics Inc. | 2 | $143 |
| Nevro Corp. | 3 | $114 |
| Biotronik NRO, Inc. | 5 | $109 |
| Spinal Elements, Inc. | 5 | $107 |
| Curonix LLC | 1 | $76 |
| Sanara Medtech Inc. | 3 | $69 |
| Integrity Implants Inc. | 1 | $46 |
| Si-bone, Inc. | 2 | $44 |
| Saluda Medical Americas, Inc. | 2 | $41 |
| Integra Lifesciences Corporation | 1 | $38 |
| AbbVie | 1 | $35 |
| Foundation Fusion Solutions, LLC | 2 | $31 |
| Acera Surgical, Inc. | 1 | $30 |
| Solventum Corporation | 1 | $25 |
| Electronic Waveform Lab, Inc. | 2 | $24 |
| Mimedx Group, Inc. | 1 | $20 |
| Smith+Nephew | 1 | $16 |
| Highridge Medical LLC | 1 | $14 |
| Collegium Pharmaceutical, Inc. | 1 | $14 |
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.
- XLIF$1,571
- CD HORIZON$1,522
- O-ARM$1,508
- ExcelsiusGPS Robotic Navigation System$1,084
- TRITANIUM$819
- AERO$673
- ARIA$673
- ANCHOR L$673
- ZEVO$349
- MAZOR X SYSTEM$305
- CASCADIA$245
- SPINEMAP$221
- ATLANTIS$171
- MONTEREY AL$161
- OASYS$159
- K2M CERVICAL$156
- CASCADIA INTERBODY SYSTEM$138
- Invictus MIS$131
- CAPRI$127
- EVEREST MI$127
How this compares
$17,401 in reported general payments places this provider in the 65th percentile of 84 orthopaedic surgery of the spine providers in New Jersey.
See all orthopaedic surgery of the spine providers in New Jersey →
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 |
|---|---|---|
| Gabapentin | 13 | $190 |
| Methylprednisolone | 12 | $117 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Ocean
- Grigory GoldbergOcean$161K
- Vincent BuddleOcean$14K
- Kristen RadcliffSomers Point$390K
- James SanfilippoMoorestown$380K
- Justin KubeckToms River$309K
- Ramil BhatnagarManasquan$301K
- Jason LowensteinMorristown$294K
- Steven KirshnerMarlton$226K
- Gordon DonaldEatontown$167K
- Ki HwangWayne$147K
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.