James Carr, MD
Orthopaedic Surgery of the Spine · San Luis Obispo, CANPI 1720197353
Payments from drug & device makers
Across 138 payments — averaging $153.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$8K
- Medtronic$7K
- Surgalign Spine Technologies, Inc.$3K
- Corelink, LLC$951
- Xtant Medical Inc$631
- Sanara Medtech Inc.$457
- plus $891 from 14 others
What the payments were for
- Consulting fees$7694%
- Travel & lodging$4,80823%
- Food & beverage$7,49735%
- Education$8,00038%
- Gifts$1000%
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 |
|---|---|---|
| Smith+Nephew | 2 | $8,066 |
| Medtronic(2 entities) | 73 | $7,466 |
| Surgalign Spine Technologies, Inc. | 24 | $2,712 |
| Corelink, LLC | 10 | $951 |
| Xtant Medical Inc | 9 | $631 |
| Sanara Medtech Inc. | 3 | $457 |
| Providence Medical Technology, Inc. | 2 | $156 |
| Cerapedics Inc. | 2 | $149 |
| Carlsmed, Inc. | 1 | $115 |
| Globus Medical | 2 | $88 |
| Paradigm Spine, LLC | 1 | $64 |
| Biotissue Holdings Inc. | 1 | $63 |
| Centinel Spine, LLC | 1 | $57 |
| Zavation Medical Products, LLC | 1 | $45 |
| Alphatec Spine, Inc | 1 | $44 |
| Innovasis Inc | 1 | $25 |
| Cornerstone Medical Associates, Inc. | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $22 |
| Zimmer Biomet | 1 | $20 |
| Bioventus LLC | 1 | $20 |
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.
- PIVOX Oblique Lateral Spinal System$2,531
- COFLEX INTERLAMINAR TECHNOLOGY, 10MM$1,438
- MAZOR X SYSTEM$1,270
- DIVERGENCE-L$711
- CellerateRx$457
- ALLOGRAFT$270
- coflex$265
- SIMMETRY IMPLANT, 12.5MM X 50MM$256
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$233
- CLYDESDALE PTC SPINAL SYSTEM$177
- O-ARM$168
- UNiD$142
- aprevo$115
- COFIX IMPLANT 10 MM$108
How this compares
$21,174 in reported general payments places this provider in the 50th percentile of 288 orthopaedic surgery of the spine providers in California.
See all orthopaedic surgery of the spine providers in California →
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 | 126 | $1,172 |
| Gabapentin | 91 | $639 |
| Carisoprodol | 18 | $396 |
| Ibuprofen | 51 | $340 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $186 |
| Tramadol Hcl | 30 | $182 |
| Methylprednisolone | 16 | $100 |
| Meloxicam | 29 | $63 |
| Cyclobenzaprine Hcl | 11 | $19 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in San Luis Obispo
- Hyun BaeSanta Monica$62.2M
- Choll KimSan Diego$4M
- Stacey BedermanOrange$3.7M
- Gregory Mundisla Jolla$3.5M
- Neelakantan AnandLos Angeles$3.2M
- Paul SlosarDaly City$3.1M
- Babak Barcohanavan Nuys$2.9M
- Rick DelamarterSanta Monica$2.3M
- Sanjay KhuranaMarina del Rey$2.3M
- Neville AlleyneOceanside$2.2M
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.