James Cole, MD
Orthopaedic Surgery of the Spine · Indianapolis, INNPI 1144227471
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (35.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Si-bone, Inc. at 27.5% of the total. Reporting peaked in 2023 at $13,158 and has fallen 63.0% since, to $4,875 in 2025.
Across 318 payments — averaging $201.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Si-bone, Inc.$18K
- The Institute Of Musculoskeletal Science And Education$10K
- Medtronic$7K
- Camber Spine Technologies LLC$6K
- Spineart USA Inc$6K
- Globus Medical$4K
- plus $14K from 25 others
What the payments were for
- Royalty or licence$5,4408%
- Consulting fees$18,30029%
- Travel & lodging$23,00836%
- Food & beverage$17,39427%
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 |
|---|---|---|
| Si-bone, Inc. | 28 | $17,623 |
| The Institute Of Musculoskeletal Science And Education | 22 | $9,834 |
| Medtronic(3 entities) | 67 | $7,053 |
| Camber Spine Technologies LLC | 36 | $6,316 |
| Spineart USA Inc | 7 | $6,191 |
| Globus Medical | 30 | $3,615 |
| Stryker | 30 | $2,666 |
| Alphatec Spine, Inc | 15 | $2,232 |
| Centinel Spine, LLC | 6 | $1,883 |
| Choice Spine, LLC | 3 | $1,163 |
| Orthofix Medical, Inc. | 6 | $932 |
| 4web, Inc. | 11 | $896 |
| Seaspine Orthopedics Corporation | 9 | $865 |
| Spinal Elements, Inc. | 7 | $820 |
| Amgen | 5 | $366 |
| Summ Cott Medical | 7 | $298 |
| Smith+Nephew | 9 | $279 |
| Titan Spine, LLC | 1 | $277 |
| Davol Inc. | 2 | $207 |
| Theragen, Inc. | 1 | $186 |
| Nanohive Medical LLC | 1 | $82 |
| Biocomposites Inc | 2 | $81 |
| Argenx US, Inc. | 3 | $68 |
| Pacira Pharmaceuticals Incorporated | 2 | $49 |
| Intrinsic Therapeutics | 1 | $31 |
| DJO, LLC | 2 | $29 |
| Neurocrine Biosciences, Inc. | 1 | $25 |
| Axsome Therapeutics, Inc. | 1 | $25 |
| Springworks Therapeutics, Inc. | 1 | $19 |
| Merck | 1 | $19 |
| Merz Pharmaceuticals, LLC | 1 | $16 |
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.
- iFuse Implant$11,156
- IFUSE IMPLANT SYSTEM$5,896
- Spira$4,304
- PERLA C$3,502
- Other - Miscellaneous$1,834
- PIVOX Oblique Lateral Spinal System$1,559
- Boomerang$1,163
- Stratofuse$1,163
- Tiger Shark C$1,163
- Raven Lumbar Plate System$1,163
- PRODISC L$1,133
- CD HORIZON$1,087
- T2 STRATOSPHERE$1,055
- ExcelsiusGPS Robotic Navigation System$1,002
- Orthros$953
- Blackhawk Cervical Spacer System$940
- CREO MCS$891
- Orthros Quarter Turn$776
- TRITANIUM$773
- Medical Device$721
How this compares
$64,142 in reported general payments places this provider in the 65th percentile of 48 orthopaedic surgery of the spine providers in Indiana.
See all orthopaedic surgery of the spine 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $265 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Indianapolis
- David SchwartzIndianapolis$1.5M
- Gregory PoulterIndianapolis$995K
- Michael McMainsIndianapolis$686K
- Kevin O NeillIndianapolis$108K
- Michael CosciaIndianapolis$885
- Philip SailerIndianapolis$294
- John PetersIndianapolis$16
- Robert HulerIndianapolis$14
- Rick SassoCarmel$1.6M
- Zeshan HyderCrown Point$1.1M
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.