Jacob Buchowski, MD
Orthopaedic Surgery of the Spine · Saint Louis, MONPI 1831115146
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $641,330 of the $657,640 with a category attached, or 97.5%. Globus Medical accounts for 77.5% of it on its own, with 13 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in MO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 177 payments — averaging $3715.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$510K
- Stryker$118K
- VB Spine LLC$16K
- Alphatec Spine, Inc$7K
- Medtronic$3K
- Synthes GmbH$2K
- plus $2K from 8 others
What the payments were for
- Royalty or licence$641,33098%
- Consulting fees$800%
- Speaking & faculty fees$1,5000%
- Travel & lodging$6,5991%
- Food & beverage$8,0891%
- Entertainment$420%
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 |
|---|---|---|
| Globus Medical(2 entities) | 64 | $509,624 |
| Stryker | 25 | $117,952 |
| VB Spine LLC | 3 | $15,604 |
| Alphatec Spine, Inc | 23 | $6,533 |
| Medtronic(2 entities) | 36 | $3,367 |
| Synthes GmbH | 4 | $2,453 |
| Johnson & Johnson | 9 | $659 |
| Cerapedics Inc. | 3 | $437 |
| Baxter Healthcare | 4 | $396 |
| Carlsmed, Inc. | 1 | $180 |
| Icotec Medical Inc. | 1 | $144 |
| Augmedics Inc. | 1 | $135 |
| Corelink, LLC | 2 | $114 |
| Haag-streit USA, Inc. | 1 | $42 |
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.
- CREO$246,089
- CAPRI CORPECTOMY CAGE SYSTEM$99,839
- CREO Threaded 4.75 CoCr$69,563
- CREO Deformity$64,591
- CREO Threaded Deform$64,079
- CREO Threaded$58,049
- CAPRI$33,672
- Other - Miscellaneous$6,029
- CREO MIS Stabilization System$5,799
- CD HORIZON SPINAL SYSTEM$1,044
- Xvision$677
- EVEREST SPINAL SYSTEM$635
- UNID_PASS$463
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$437
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$403
- ALTERA$401
- CD HORIZON$262
- aprevo$180
- MAZOR X SYSTEM$166
- ExcelsiusGPS Robotic Navigation System$145
How this compares
$657,640 in reported general payments places this provider in the 95th percentile of 53 orthopaedic surgery of the spine providers in Missouri.
See all orthopaedic surgery of the spine providers in Missouri →
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 | 40 | $616 |
| Oxycodone Hcl | 98 | $554 |
| Baclofen | 31 | $547 |
| Mupirocin | 41 | $321 |
| Amoxicillin | 26 | $36 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Saint Louis
- Munish GuptaSaint Louis$1M
- Brian NeumanSaint Louis$106K
- R Adams CowleySaint Louis$53K
- Michael ReiterSaint Louis$37K
- Mark LambrechtsSaint Louis$37K
- Nicholas PallottaSaint Louis$21K
- Matthew GoodwinSaint Louis$20K
- John ClohisySaint Louis$19K
- Diana DoulehSaint Louis$18K
- Bryan RynearsonSaint Louis$17K
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.