Frank Kuwamura, MD
Orthopaedic Surgery of the Spine · Shavano Park, TXNPI 1184671398
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $132,294 of the $191,358 with a category attached, or 69.1%. Fuse Medical, Inc. accounts for 65.6% of it on its own, with 37 other manufacturers making up the rest. Reporting peaked in 2020 at $62,550 and has fallen 93.2% since, to $4,238 in 2025.
Across 180 payments — averaging $1063.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fuse Medical, Inc.$125K
- Alphatec Spine, Inc$49K
- Nexus Spine, LLC$8K
- Spineart USA Inc$3K
- Corelink, LLC$861
- Si-bone, Inc.$752
- plus $5K from 32 others
What the payments were for
- Royalty or licence$48,78025%
- Consulting fees$132,29469%
- Travel & lodging$3,2752%
- Food & beverage$6,6723%
- Gifts$3370%
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 |
|---|---|---|
| Fuse Medical, Inc. | 14 | $125,455 |
| Alphatec Spine, Inc | 22 | $48,780 |
| Nexus Spine, LLC | 12 | $7,779 |
| Spineart USA Inc | 5 | $2,855 |
| Corelink, LLC | 4 | $861 |
| Si-bone, Inc. | 18 | $752 |
| Providence Medical Technology, Inc. | 7 | $667 |
| Abbott | 12 | $625 |
| CPM Medical Consultants, LLC | 8 | $512 |
| Intrinsic Therapeutics | 10 | $404 |
| Curiteva, Inc. | 1 | $332 |
| Osseus Fusion Systems, LLC | 2 | $323 |
| Medtronic(2 entities) | 9 | $278 |
| Nevro Corp. | 7 | $234 |
| Centinel Spine, LLC | 2 | $208 |
| Orthofix Medical, Inc. | 20 | $205 |
| Globus Medical | 3 | $204 |
| Nanohive Medical LLC | 1 | $150 |
| Johnson & Johnson | 2 | $115 |
| Galderma Laboratories, L.p. | 1 | $99 |
| Boston Scientific | 2 | $68 |
| Zimvie Inc. | 1 | $52 |
| Innovation Technologies Inc | 1 | $50 |
| Baxter Healthcare | 1 | $49 |
| Ulrich Medical USA, Inc. | 1 | $46 |
| Kyocera Medical Technologies, Inc. | 1 | $34 |
| Zimmer Biomet | 2 | $29 |
| Spineology Inc. | 1 | $25 |
| DJO, LLC | 1 | $23 |
| Kuros Biosciences USA, Inc | 1 | $22 |
| Heron Therapeutics, Inc. | 1 | $18 |
| Stryker | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Zyla Life Sciences, Inc. | 1 | $15 |
| Augmedics Inc. | 1 | $15 |
| Bioventus LLC | 1 | $15 |
| Painteq LLC | 1 | $14 |
| Spinal Elements, Inc. | 1 | $12 |
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.
- BATALLION LATERAL$26,180
- BATTALION LLIF$21,657
- PressOn$7,751
- Other - Miscellaneous$887
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$629
- PROCLAIM$428
- iFuse Implant$329
- Senza$309
- PRODISC L$152
- INTELLIS ADAPTIVESTIM$149
- Perla TL$145
- MAXFUSE-C$120
How this compares
$191,358 in reported general payments places this provider in the 80th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 | $132 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Shavano Park
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
- Michael ObrienPlano$1M
- Mohammad EtminanRichmond$1M
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.