Edwin Spencer, MD
Orthopaedic Surgery · Knoxville, TNNPI 1578530275
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $2,262,745 of the $2,469,448 with a category attached, or 91.6%. Stryker accounts for 68.3% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2022 at $451,376 and has fallen 68.1% since, to $143,814 in 2025. Among orthopaedic surgery clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 248 payments — averaging $9957.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1.7M
- Encore Medical, LP$748K
- Smith+Nephew$30K
- Techmah Medical, LLC$3K
- Shoulder Innovations, Inc.$216
- Arthrex$140
- plus $398 from 7 others
Across 5 payments — averaging $6393.90 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.
- Smith+Nephew$32K
What the payments were for
- Royalty or licence$2,262,74592%
- Consulting fees$184,4067%
- Speaking & faculty fees$5,6000%
- Travel & lodging$13,2371%
- Food & beverage$3,4600%
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(2 entities) | 48 | $1,687,096 |
| Encore Medical, LP | 166 | $748,119 |
| Smith+Nephew | 22 | $30,427 |
| Techmah Medical, LLC | 2 | $3,052 |
| Shoulder Innovations, Inc. | 1 | $216 |
| Arthrex | 1 | $140 |
| Exactech, Inc. | 1 | $109 |
| Alpha Orthopedic Systems | 1 | $65 |
| Anika Therapeutics, Inc. | 1 | $64 |
| Smoky Mountain Surgical LLC | 2 | $56 |
| Integra Lifesciences Corporation | 1 | $47 |
| Zimmer Biomet | 1 | $29 |
| Innovation Technologies Inc | 1 | $26 |
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.
- AEQUALIS PERFORM$1,127,689
- DJO SURGICAL$666,623
- AEQUALIS$559,407
- DJO Surgical AltiVate Anatomic System$228,231
- DJO Surgical AltiVate Reverse$31,602
- Accu-pass$15,475
- Healicoil$12,188
- AETOS Shoulder System$12,055
- MICRORAPTOR$11,375
- Bone Anchors with Arthroscopic Delivery System$11,035
- SmartSpace Shoulder$3,000
- BIORAPTOR$2,850
- FAST-FIX$2,200
- SPATIAL FRAME$1,100
- DJO Surgical Match Point System$697
- Bioinductive Implant with Arthroscopic Delivery System - Medium$663
- REAL INTELLIGENCE$529
- InSet System$216
- EQUINOXE$109
How this compares
$2,469,448 in reported general payments places this provider in the 95th percentile of 381 orthopaedic surgery providers in Tennessee.
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 |
|---|---|---|
| Diclofenac Sodium | 201 | $2,094 |
| Ondansetron OdtOndansetron | 97 | $1,317 |
| Celecoxib | 42 | $1,029 |
| Cephalexin | 79 | $1,001 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $256 |
| Amoxicillin | 51 | $98 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $96 |
| Prednisone | 18 | $84 |
| Ondansetron Hcl | 26 | $79 |
| Tamsulosin Hcl | 28 | $50 |
| Meloxicam | 11 | $12 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Knoxville
- Paul BradyKnoxville$20M
- Paul NaylorKnoxville$184K
- George HollowayKnoxville$124K
- Harold CatesKnoxville$106K
- Adam ShortKnoxville$87K
- Brian EdkinKnoxville$60K
- Austin DavidsonKnoxville$56K
- Benjamin WeisenthalKnoxville$52K
- Jesse DotyChattanooga$2.3M
- Thomas ThrockmortonGermantown$1.7M
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.