Gregory Spayde, PA
Surgical · Carmel, INNPI 1083608913
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 26 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 10 manufacturers, the largest accounting for just 21.2% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $731 and has fallen 69.0% since, to $227 in 2025.
Across 26 payments — averaging $55.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$304
- Edwards Lifesciences$238
- Abiomed$230
- Smith+Nephew$192
- Bolton Medical Inc$149
- Boston Scientific$146
- plus $174 from 4 others
What the payments were for
- Food & beverage$1,432100%
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 |
|---|---|---|
| Atricure, Inc. | 6 | $304 |
| Edwards Lifesciences | 2 | $238 |
| Abiomed | 2 | $230 |
| Smith+Nephew | 3 | $192 |
| Bolton Medical Inc | 1 | $149 |
| Boston Scientific | 7 | $146 |
| Getinge USA Sales, LLC | 2 | $124 |
| Merck | 1 | $18 |
| Johnson & Johnson | 1 | $18 |
| Medtronic | 1 | $13 |
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.
- INSPIRIS RESILIA aortic valve$189
- Impella$150
- Grafts$149
- PICO$149
- Vasoview Hemopro 2$105
How this compares
$1,432 in reported general payments places this provider in the 75th percentile of 130 surgical providers in Indiana.
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.
Other surgical in Carmel
- Jennifer BradleyCarmel$5K
- Bryan RileyCarmel$3K
- Melissa KolihaCarmel$2K
- Victoria GoldnerCarmel$1K
- Amy BenderCarmel$1K
- Amanda HobsonCarmel$1K
- Katarzyna FrazeeCarmel$914
- Pamela GrayCarmel$796
- Elizabeth TibbsCarmel$622
- April NodineIndianapolis$8K
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.