James Showery, MD
Orthopaedic Surgery of the Spine · Katy, TXNPI 1205283272
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (50.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Stryker accounts for 80.3% of it on its own, with 23 other manufacturers making up the rest. 2025 is the largest year on record at $48,082, more than ten times the $3,784 reported in 2021.
Across 406 payments — averaging $180.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$59K
- Globus Medical$5K
- Medinc Of Texas$2K
- Arthrex$2K
- Si-bone, Inc.$848
- Alphatec Spine, Inc$740
- plus $4K from 18 others
What the payments were for
- Consulting fees$36,75050%
- Travel & lodging$19,66527%
- Food & beverage$17,00623%
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 |
|---|---|---|
| Stryker | 292 | $58,975 |
| Globus Medical | 23 | $4,933 |
| Medinc Of Texas | 9 | $1,942 |
| Arthrex | 23 | $1,806 |
| Si-bone, Inc. | 8 | $848 |
| Alphatec Spine, Inc | 5 | $740 |
| DJO, LLC | 4 | $594 |
| Synthes GmbH | 1 | $541 |
| Providence Medical Technology, Inc. | 3 | $468 |
| VB Spine LLC | 12 | $374 |
| Medtronic | 2 | $356 |
| Johnson & Johnson | 6 | $335 |
| Carlsmed, Inc. | 1 | $185 |
| BD | 1 | $181 |
| Cerapedics Inc. | 2 | $172 |
| Amgen | 1 | $145 |
| Centinel Spine, LLC | 1 | $140 |
| Boston Scientific | 2 | $138 |
| Orthalign Inc | 1 | $137 |
| Integrity Implants Inc. | 1 | $136 |
| Lifenet Health | 1 | $127 |
| Radius Health, Inc. | 3 | $69 |
| Ossur Americas, Inc. | 3 | $55 |
| Spinal Elements, Inc. | 1 | $25 |
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.
- SONOPET IQ$22,450
- CORE$22,281
- CASCADIA INTERBODY SYSTEM$2,644
- EVEREST SPINAL SYSTEM$2,620
- Quartex$2,360
- ELSA$713
- PROCARE Bracing & Supports$553
- AIRCAST Bracing & Supports$553
- Excelsius - GPS$495
- SERRATO$465
- MESA SPINAL SYSTEM$361
- ACP$340
- RISE$321
- YUKON OCT SPINAL SYSTEM$320
- CAPRI CORPECTOMY CAGE SYSTEM$259
- CREO$254
- Excelsius Robotics System$247
- AIRO$190
- aprevo$185
- Channel Drain$181
How this compares
$73,420 in reported general payments places this provider in the 75th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 |
|---|---|---|
| Pregabalin | 82 | $1,590 |
| Gabapentin | 63 | $495 |
| Methocarbamol | 23 | $320 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $230 |
| Celecoxib | 22 | $173 |
| Tramadol Hcl | 34 | $160 |
| Baclofen | 14 | $129 |
| Oxycodone Hcl | 15 | $123 |
| Tizanidine Hcl | 18 | $74 |
| Cyclobenzaprine Hcl | 12 | $43 |
| Meloxicam | 13 | $25 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Katy
- Randall DryerAustin$2.9M
- Craig KuhnsAustin$2.4M
- David WimberleyHouston$2.2M
- Jeffrey PhelpsNorth Richland Hills$1.9M
- Eric WieserArlington$1.5M
- Andrew ClavennaDallas$1.3M
- Ivan ChengKyle$1.2M
- Stephen TolhurstFlower Mound$1.1M
- Michael ObrienPlano$1M
- Mohammad EtminanRichmond$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.