Guy Fogel
Orthopaedic Surgery · San Antonio, TXNPI 1447293881
Payments from drug & device makers
Across 185 payments — averaging $222.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$30K
- Globus Medical$5K
- MML US, Inc.$2K
- Relievant Medsystems, Inc.$1K
- Avanos Medical$1K
- Si-bone, Inc.$619
- plus $2K from 13 others
What the payments were for
- Consulting fees$9,70024%
- Speaking & faculty fees$1,0302%
- Travel & lodging$23,18156%
- Food & beverage$7,28318%
- Entertainment$410%
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 |
|---|---|---|
| Alphatec Spine, Inc | 60 | $29,599 |
| Globus Medical(2 entities) | 60 | $5,122 |
| MML US, Inc. | 15 | $2,174 |
| Relievant Medsystems, Inc. | 19 | $1,136 |
| Avanos Medical | 2 | $1,030 |
| Si-bone, Inc. | 10 | $619 |
| Medtronic | 3 | $274 |
| Stryker | 3 | $194 |
| Brainlab, Inc. | 1 | $165 |
| Bone Support Inc. | 1 | $138 |
| Aesculap Implant Systems, LLC | 2 | $134 |
| Radius Health, Inc. | 2 | $131 |
| Wishbone Medical Inc. | 1 | $118 |
| Pacira Therapeutics, Inc. | 1 | $103 |
| Zimmer Biomet | 1 | $98 |
| Smith+Nephew | 1 | $88 |
| Heron Therapeutics, Inc. | 1 | $63 |
| 4web, Inc. | 1 | $37 |
| CTL Medical Corporation | 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.
- Other - Miscellaneous$24,635
- Intracept$2,026
- ReActiv8$1,927
- Pulse$1,812
- Excelsius - GPS$1,308
- COOLED RFA$1,030
- LIF$687
- MULTIPLE$670
- iFuse Implant$459
- IdentiTi$411
- ALIF$362
- CD HORIZON SPINAL SYSTEM$178
- Simplify Cervical Artificial Disc$165
- Image Guided Surgical Device$165
- SafeOp$147
- CERAMENTBONE VOID FILLER$138
- RISE-L$131
- Tymlos$124
- XLIF$112
- Modulus$112
How this compares
$41,235 in reported general payments places this provider in the 85th percentile of 1,337 orthopaedic surgery providers in Texas.
Other orthopaedic surgery in San Antonio
- Stephen BurkhartSan Antonio$185.3M
- Michael WirthSan Antonio$4.5M
- Charles BroomeSan Antonio$3.8M
- Christopher ChaputSan Antonio$1.1M
- Ravi KariaSan Antonio$1.1M
- Charles RockwoodSan Antonio$975K
- Frank ButtacavoliSan Antonio$932K
- Robert HartzlerSan Antonio$702K
- Bernard MorreySan Antonio$639K
- Animesh AgarwalSan Antonio$440K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.