Franco Vigna, MD
Orthopaedic Surgery of the Spine · Niagara Falls, NYNPI 1760489736
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $211,493 of the $261,280 with a category attached, or 80.9%. Surgalign Spine Technologies, Inc. accounts for 84.7% of it on its own, with 27 other manufacturers making up the rest. Reporting peaked in 2019 at $71,144 and has fallen 79.8% since, to $14,371 in 2025. Among orthopaedic surgery of the spine clinicians in NY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 417 payments — averaging $626.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Surgalign Spine Technologies, Inc.$221K
- Xtant Medical Inc$32K
- Abbott$5K
- Boston Scientific$526
- Medtronic$309
- Novapproach Spine, LLC$250
- plus $1K from 22 others
What the payments were for
- Royalty or licence$211,49381%
- Consulting fees$30,05012%
- Speaking & faculty fees$1500%
- Travel & lodging$8,7123%
- Food & beverage$9,2864%
- Education$1,5701%
- Gifts$180%
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 |
|---|---|---|
| Surgalign Spine Technologies, Inc. | 114 | $221,394 |
| Xtant Medical Inc | 10 | $32,313 |
| Abbott | 209 | $5,231 |
| Boston Scientific | 24 | $526 |
| Medtronic(2 entities) | 7 | $309 |
| Novapproach Spine, LLC | 1 | $250 |
| Nevro Corp. | 14 | $216 |
| Si-bone, Inc. | 9 | $213 |
| Cerapedics Inc. | 2 | $87 |
| Avanos Medical | 1 | $84 |
| Johnson & Johnson | 3 | $72 |
| Zimmer Biomet | 1 | $71 |
| Merck | 4 | $62 |
| DJO, LLC | 2 | $55 |
| Bioventus LLC | 2 | $52 |
| Smith+Nephew | 2 | $38 |
| Baxter Healthcare | 1 | $32 |
| Ossur Americas, Inc. | 1 | $32 |
| Solventum Corporation | 1 | $32 |
| Stryker | 1 | $30 |
| Organogenesis Inc. | 1 | $27 |
| Averitas Pharma Inc. | 1 | $27 |
| Curonix LLC | 1 | $25 |
| Pacira Pharmaceuticals Incorporated | 1 | $24 |
| Coastal Medical Technologies LLC | 1 | $22 |
| Amgen | 1 | $21 |
| KCI USA, Inc. | 1 | $20 |
| Aesculap, Inc. | 1 | $15 |
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.
- FORTILINK-TS IBF SYSTEM$128,953
- FORTILINK-TS IBF SYSTEM WITH TETRAFUSE 3D TECHNOLOGY$28,623
- CervAlign Anterior Cervical Plate$18,631
- CORTERA$11,968
- CERVALIGN ANTERIOR CERVICAL PLATE SYSTEM$11,404
- FORTILINK-C IBF SYSTEM$7,050
- ARAI SURGICAL NAVIGATION SYSTEM$3,398
- MAP3 CELLULAR ALLOGENEIC BONE GRAFT$2,950
- FORTILINK-TC TIPLUS$1,886
- STREAMLINE TL SPINAL FIXATION SYSTEM$1,886
- STREAMLINE* OCT OCCIPITO-CERVICO-THORACIC SYSTEM$1,886
- Fortilink-L IBF System$1,375
- Proclaim DRG IPG$959
- STREAMLINE OCT SYSTEM$500
- PROCLAIM$338
- OneLIF$250
- Proclaim Family of SCS IPGs$160
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$150
- ALLOGRAFT$148
- Neuromodulation Dspsbls and Accs$125
How this compares
$261,280 in reported general payments places this provider in the 90th percentile of 161 orthopaedic surgery of the spine providers in New York.
See all orthopaedic surgery of the spine providers in New York →
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $212 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Niagara Falls
- Hansen YuanSyracuse$31.7M
- Frank SchwabNew York$5.1M
- Han KimNew York$3.9M
- Todd AlbertNew York$2.7M
- Jeffrey SpivakNew York$1.3M
- Aaron BucklandNew York$1M
- Seth NeubardtWhite Plains$902K
- Sheeraz QureshiNew York$828K
- Jeffrey GoldsteinNew York$765K
- Fabien BitanNew York$624K
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.