John Lamacchia, MD
Orthopaedic Surgery of the Spine · Rochester, MINPI 1669465761
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $148,467 of the $178,867 with a category attached, or 83.0%. 16 manufacturers reported payments, led by Stryker at 46.0% of the total.
Across 158 payments — averaging $1132.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$82K
- Spineology Inc.$30K
- Surgalign Spine Technologies, Inc.$29K
- Cerapedics Inc.$17K
- Spinal Elements, Inc.$10K
- Kuros Biosciences USA, Inc$8K
- plus $2K from 10 others
What the payments were for
- Consulting fees$148,46783%
- Speaking & faculty fees$13,1007%
- Travel & lodging$10,4536%
- Food & beverage$6,8204%
- Entertainment$270%
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 | 30 | $82,349 |
| Spineology Inc. | 20 | $30,133 |
| Surgalign Spine Technologies, Inc. | 11 | $29,085 |
| Cerapedics Inc. | 11 | $17,469 |
| Spinal Elements, Inc. | 20 | $9,585 |
| Kuros Biosciences USA, Inc | 12 | $7,960 |
| Zimmer Biomet | 3 | $899 |
| Medtronic(2 entities) | 41 | $835 |
| Abbott | 3 | $413 |
| Pacira Therapeutics, Inc. | 1 | $27 |
| Si-bone, Inc. | 1 | $24 |
| Bioventus LLC | 1 | $23 |
| Providence Medical Technology, Inc. | 1 | $20 |
| Pinnacle, Inc | 1 | $19 |
| Sanofi-aventis U.S. LLC | 1 | $14 |
| Johnson & Johnson | 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.
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$29,888
- NSE - SONOPET$22,250
- SONOPET IQ$22,075
- SPETZLER-MALIS$15,500
- STREAMLINE TL SPINAL FIXATION SYSTEM$15,419
- FORTILINK-C IBF SYSTEM$12,848
- i-FACTOR Putty$11,995
- SILVERGLIDE$10,000
- MagnetOs$7,584
- CORE$6,300
- N/A$6,300
- Medical Device$5,934
- STRYKER NAV3$5,500
- ORTHOMAP$5,000
- I-FACTOR PUTTY 1.0CC$4,762
- OVERWATCH$2,750
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$1,750
- MAKO$1,325
- PD-Spine-New Product$750
- CORTERA$320
How this compares
$178,867 in reported general payments places this provider in the 85th percentile of 37 orthopaedic surgery of the spine providers in Michigan.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Mupirocin | 82 | $446 |
| Gabapentin | 36 | $243 |
| Methocarbamol | 27 | $146 |
| Tramadol Hcl | 39 | $128 |
| Amoxicillin | 11 | $24 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Rochester
- Peter BonoSouthfield$786K
- Joseph BrownGrand Rapids$565K
- Nilesh PatelDearborn$449K
- Michael KastenKalamazoo$261K
- Joshua EllwitzKalamazoo$150K
- Michael KapsokavathisBirmingham$120K
- Michael DonahueAuburn Hills$96K
- Matthew KarekGrand Rapids$90K
- Jeffrey WingateWarren$57K
- Rasheed AbiolaLivonia$43K
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.