James Spearman, MD
Orthopaedic Surgery · Greenville, SCNPI 1427581362
Payments from drug & device makers
What this record shows
This record is dominated by grants: $40,000 of the $58,147 with a category attached, or 68.8%. Arthrex accounts for 70.7% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2022 at $29,838 and has fallen 97.0% since, to $889 in 2025. Among orthopaedic surgery clinicians in SC 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 80 payments — averaging $726.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$41K
- Peerless Surgical Inc.$6K
- Smith+Nephew$6K
- Medinc Of Texas$3K
- Stryker$556
- Anika Therapeutics, Inc.$466
- plus $1K from 14 others
What the payments were for
- Grants$40,00069%
- Travel & lodging$1,5453%
- Food & beverage$3,6726%
- Education$12,93022%
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 |
|---|---|---|
| Arthrex | 22 | $41,116 |
| Peerless Surgical Inc. | 12 | $6,456 |
| Smith+Nephew | 13 | $5,530 |
| Medinc Of Texas | 2 | $2,680 |
| Stryker | 5 | $556 |
| Anika Therapeutics, Inc. | 4 | $466 |
| Exactech, Inc. | 2 | $364 |
| Miach Orthopaedics, Inc. | 1 | $184 |
| Medacta USA, Inc. | 1 | $144 |
| Illuminoss Medical, Inc. | 1 | $138 |
| Ferring Pharmaceuticals Inc. | 7 | $134 |
| Zimmer Biomet | 1 | $134 |
| Orthofix Medical, Inc. | 1 | $84 |
| Vericel Corporation | 2 | $53 |
| Medical Device Business Services, Inc. | 1 | $22 |
| GSK | 1 | $22 |
| Shoulder Innovations, Inc. | 1 | $18 |
| Innovation Technologies Inc | 1 | $16 |
| Inari Medical, Inc. | 1 | $15 |
| AstraZeneca | 1 | $14 |
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.
- FAST-FIX$1,018
- Firstpass$1,018
- ACUFEX Meniscal Root Repair$1,018
- EQUINOXE$364
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$337
- AEQUALIS PERFORM REVERSED$185
- REUNION$174
- Integrity implant$153
- Integrity$151
- RevoMotion$150
- TACTOSET$150
- ULTRABUTTON$149
- Shoulder System$144
- Photodynamic Bone Stabilization Procedure Pack$138
- ActivBraid$134
How this compares
$58,147 in reported general payments places this provider in the 95th percentile of 325 orthopaedic surgery providers in South 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 |
|---|---|---|
| Diclofenac Sodium | 109 | $655 |
| Meloxicam | 78 | $254 |
| Methylprednisolone | 22 | $45 |
| Ibuprofen | 11 | $37 |
| Indomethacin | 14 | $30 |
| Tramadol Hcl | 12 | $20 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Greenville
- Peter EversonGreenville$41K
- Joshua EskewGreenville$37K
- Steven SwinfordGreenville$35K
- Alexander BurnikelGreenville$27K
- Cory SmithGreenville$24K
- Michael SimsGreenville$22K
- Ethan MaltzGreenville$20K
- Lukas KeilGreenville$19K
- William SmithColumbia$7.7M
- Richard FrischMt Pleasant$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.