John Shuster, MD
Orthopaedic Surgery of the Spine · Spokane, WANPI 1710955307
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $96,792 of the $124,105 with a category attached, or 78.0%. Medtronic accounts for 99.9% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2019 at $65,952 and has fallen 99.9% since, to $96 in 2025.
Across 110 payments — averaging $1128.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$124K
- Sawtooth Surgical Solutions Inc$115
- Globus Medical$33
What the payments were for
- Speaking & faculty fees$96,79278%
- Travel & lodging$23,63219%
- Food & beverage$3,1103%
- Education$5710%
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 |
|---|---|---|
| Medtronic(2 entities) | 106 | $123,956 |
| Sawtooth Surgical Solutions Inc | 3 | $115 |
| Globus Medical | 1 | $33 |
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
$124,105 in reported general payments places this provider in the 85th percentile of 61 orthopaedic surgery of the spine providers in Washington.
See all orthopaedic surgery of the spine providers in Washington →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $168 |
| Oxycodone Hcl | 16 | $129 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Spokane
- Antoine TohmehSpokane$4.3M
- Timothy PowersSpokane$44K
- Rajiv SethiSeattle$2.9M
- Mark FreebornKirkland$1.8M
- Alireza AnissipourEverett$598K
- Richard BransfordSeattle$413K
- Jens ChapmanSeattle$394K
- Venu NemaniSeattle$199K
- Philip LouieSeattle$132K
- Nicholas SpinaSeattle$98K
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.