Hubert Gooch, MD
Orthopaedic Surgery of the Spine · Asheville, NCNPI 1700878212
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (37.3%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Choice Spine, LLC at 55.6% of the total. Reporting peaked in 2024 at $5,790 and has fallen 89.5% since, to $606 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in NC, where the typical reported total is $15,863.
Across 51 payments — averaging $170.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Choice Spine, LLC$5K
- Peerless Surgical Inc.$945
- Medtronic$935
- Arthrex$687
- Carlsmed, Inc.$315
- Lenoss Medical Inc$214
- plus $769 from 10 others
What the payments were for
- Consulting fees$3,00034%
- Travel & lodging$3,24937%
- Food & beverage$2,45728%
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 |
|---|---|---|
| Choice Spine, LLC | 7 | $4,841 |
| Peerless Surgical Inc. | 2 | $945 |
| Medtronic(2 entities) | 12 | $935 |
| Arthrex | 6 | $687 |
| Carlsmed, Inc. | 3 | $315 |
| Lenoss Medical Inc | 2 | $214 |
| Globus Medical | 3 | $194 |
| Providence Medical Technology, Inc. | 4 | $177 |
| Alphatec Spine, Inc | 1 | $144 |
| Orthofix Medical, Inc. | 5 | $77 |
| Ulrich Medical USA, Inc. | 1 | $42 |
| Si-bone, Inc. | 1 | $35 |
| Spineology Inc. | 1 | $32 |
| Bioventus LLC | 1 | $25 |
| Camber Spine Technologies LLC | 1 | $22 |
| Abbott | 1 | $21 |
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.
- Thunderbolt Minimally Invasive Pedicle Screw Systems$3,500
- Blackhawk Cervical Spacer System$3,258
- Stratofuse$3,258
- VEO Lateral Interbody Fusion System$3,000
- Triton$3,000
- Lancer Pedicle Screw System$1,000
- MazorX - Renaissance$673
- aprevo$303
- Boomerang$258
- TIGERSHARK C$258
- Harrier SA Lumbar Interbody System$258
- INVICTUS OPEN$144
- Excelsius - GPS$125
- CD HORIZON$108
How this compares
$8,706 in reported general payments places this provider in the 45th percentile of 32 orthopaedic surgery of the spine providers in North Carolina.
See all orthopaedic surgery of the spine providers in North Carolina →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $172 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Asheville
- James HoskiAsheville$808
- Sukhbir GuramAsheville$15
- Peter PassiasDurham$553K
- Daniel WilliamsPinehurst$443K
- Alexander LemonsPinehurst$389K
- Daniel CavanaughChapel Hill$246K
- Olumide DanisaDurham$198K
- Conor ReganRaleigh$149K
- Michael MooreGreensboro$83K
- Phillip HorneCary$45K
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.