James Spoto, DO
Facial Plastic Surgery · Grand Rapids, MINPI 1457563959
Payments from drug & device makers
What this record shows
Stryker accounts for 77.2% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2021 at $1,439 and has fallen 98.9% since, to $16 in 2025.
Across 22 payments — averaging $99.87 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Medtronic$239
- Intersect ENT, Inc.$149
- Sanofi$35
- Olympus America Inc.$32
- Optinose US, Inc.$19
- plus $29 from 2 others
What the payments were for
- Travel & lodging$1,14752%
- Food & beverage$1,05048%
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 | 11 | $1,695 |
| Medtronic(2 entities) | 3 | $239 |
| Intersect ENT, Inc. | 1 | $149 |
| Sanofi | 2 | $35 |
| Olympus America Inc. | 2 | $32 |
| Optinose US, Inc. | 1 | $19 |
| Cochlear Americas | 1 | $17 |
| Novartis | 1 | $12 |
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.
How this compares
$2,197 in reported general payments places this provider in the 55th percentile of 30 facial plastic surgery providers in Michigan.
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 |
|---|---|---|
| Ciprofloxacin-DexamethasoneCiprofloxacin Hcl/Dexameth | 20 | $2,452 |
| Ipratropium Bromide | 45 | $1,230 |
| Fluticasone Propionate | 82 | $1,066 |
| Pilocarpine Hcl | 26 | $799 |
| Fluocinolone Acetonide Oil | 18 | $583 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 13 | $565 |
| Glycopyrrolate | 20 | $461 |
| Azelastine Hcl | 22 | $415 |
| Cefdinir | 11 | $231 |
| Triamcinolone Acetonide | 16 | $213 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $165 |
| Omeprazole | 17 | $143 |
| Montelukast Sodium | 19 | $88 |
| Amoxicillin | 23 | $87 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $68 |
Paid to pharmacies, not to this prescriber.
Other facial plastic surgery in Grand Rapids
- Andrew BehlerGrand Rapids$10K
- Anthony HowardGrand Rapids$4K
- John RileyGrand Rapids$3K
- Ahmed MakiPontiac$24K
- Casey AshbyFarmington Hills$15K
- Christopher MetzMadison Heights$7K
- John UlrichGrand Blanc$7K
- Laura Garcia RodriguezDetroit$6K
- Noah SternDetroit$4K
- Adam RourkeSterling Heights$4K
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.