John Peloza
Orthopaedic Surgery of the Spine · Chesterfield, MONPI 1245283548
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (39.7%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by The Institute Of Musculoskeletal Science And Education at 47.7% of the total. Reporting peaked in 2021 at $90,224 and has fallen 88.3% since, to $10,554 in 2025. Among orthopaedic surgery of the spine clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 218 payments — averaging $1140.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- The Institute Of Musculoskeletal Science And Education$119K
- Philadelphia Medical Management Company LLC$82K
- Spine Wave, Inc.$20K
- Camber Spine Technologies LLC$10K
- Highridge Medical LLC$8K
- 4web, Inc.$3K
- plus $8K from 24 others
Across 1 payment — averaging $245.10 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Globus Medical$245
Across 7 payments — averaging $13,532 each. An ownership or investment interest held by the physician or an immediate family member.
- 4web, Inc.$95K
What the payments were for
- Royalty or licence$98,82640%
- Consulting fees$89,72736%
- Speaking & faculty fees$36,29615%
- Travel & lodging$11,6425%
- Food & beverage$10,9184%
- Education$7000%
- Gifts$5300%
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 |
|---|---|---|
| The Institute Of Musculoskeletal Science And Education | 36 | $118,513 |
| Philadelphia Medical Management Company LLC | 5 | $81,875 |
| Spine Wave, Inc. | 29 | $20,070 |
| Camber Spine Technologies LLC | 55 | $9,754 |
| Highridge Medical LLC | 9 | $7,806 |
| 4web, Inc. | 13 | $2,528 |
| Stryker | 10 | $1,563 |
| Alphatec Spine, Inc | 6 | $1,040 |
| Medtronic(2 entities) | 8 | $953 |
| Globus Medical | 8 | $783 |
| Surgalign Spine Technologies, Inc. | 3 | $620 |
| Orthofix Medical, Inc. | 7 | $606 |
| Augmedics Inc. | 2 | $575 |
| Centinel Spine, LLC | 5 | $505 |
| Spinal Elements, Inc. | 3 | $443 |
| VB Spine LLC | 2 | $162 |
| Acuity Surgical Devices, LLC | 1 | $142 |
| Nexxt Spine LLC | 1 | $130 |
| Spineart USA Inc | 1 | $127 |
| Biotronik NRO, Inc. | 1 | $105 |
| Aesculap Implant Systems, LLC | 1 | $103 |
| Boston Scientific | 4 | $63 |
| Johnson & Johnson | 1 | $33 |
| GE HealthCare | 1 | $27 |
| Wound Management Technologies, Inc | 1 | $27 |
| Ulrich Medical USA, Inc. | 1 | $24 |
| Trevena, Inc. | 1 | $17 |
| Baxter Healthcare | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Elite Orthopedics, LLC | 1 | $13 |
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.
- Spira-O$65,243
- Spira$26,050
- Spinal Implants$14,721
- MOBI-C PLUG & FIT US$7,644
- Xvision$2,679
- SPINE TRUSS SYSTEM$2,188
- OLIF$1,600
- ALIF$1,600
- EVEREST SPINAL SYSTEM$1,357
- MULTIPLE$810
- PRESTIGE LP CERVICAL DISC SYSTEM$700
- Simplify Cervical Artificial Disc$587
- Anterior Fusion$483
- CLARITY RETRACTOR SYSTEM-LATERAL$450
- M6-C Artificial Cervical Disc$424
- Medical Device$314
- Medical Devices$259
- PRODISC L$247
- Posterior Fixation$215
- LIF$167
How this compares
$248,639 in reported general payments places this provider in the 90th percentile of 53 orthopaedic surgery of the spine providers in Missouri.
See all orthopaedic surgery of the spine providers in Missouri →
Other orthopaedic surgery of the spine in Chesterfield
- Johngrant CouryChesterfield$13K
- James CoyleChesterfield$242
- Roger JacksonNorth Kansas City$68.5M
- Munish GuptaSaint Louis$1M
- Jacob BuchowskiSaint Louis$658K
- Steven MeyerColumbia$545K
- Rahul BashoHannibal$498K
- Brian NeumanSaint Louis$106K
- Andre JakoiKansas City$97K
- William RodgersJefferson City$77K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.