John Spitalieri, DO
Neurological Surgery · Fayetteville, NCNPI 1881705796
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.3%), travel and lodging and education — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Abbott at 42.2% of the total. Reporting peaked in 2023 at $3,829 and has fallen 76.3% since, to $909 in 2025.
Across 172 payments — averaging $56.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$4K
- Medtronic$2K
- Relievant Medsystems, Inc.$755
- Orthofix Medical, Inc.$447
- Stryker$393
- Providence Medical Technology, Inc.$371
- plus $2K from 14 others
What the payments were for
- Travel & lodging$4,65148%
- Food & beverage$5,11352%
- Education$150%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Abbott | 41 | $4,125 |
| Medtronic(2 entities) | 53 | $2,158 |
| Relievant Medsystems, Inc. | 5 | $755 |
| Orthofix Medical, Inc. | 13 | $447 |
| Stryker | 6 | $393 |
| Providence Medical Technology, Inc. | 11 | $371 |
| Spineology Inc. | 2 | $371 |
| Amgen | 13 | $358 |
| AbbVie | 12 | $157 |
| Globus Medical | 3 | $124 |
| 4web, Inc. | 1 | $115 |
| SPR Therapeutics, Inc | 1 | $83 |
| BK Medical Holding Company Inc. | 1 | $70 |
| Surgalign Spine Technologies, Inc. | 1 | $59 |
| Nalu Medical, Inc. | 2 | $45 |
| Lemaitre Vascular, Inc. | 2 | $41 |
| Si-bone, Inc. | 2 | $38 |
| Painteq LLC | 1 | $27 |
| Boston Scientific | 1 | $23 |
| MML US, Inc. | 1 | $19 |
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.
- PROCLAIM$3,174
- Intracept$1,317
- INTELLIS ADAPTIVESTIM$909
- OptiMesh Interbody Fusion System$371
- SPINEJACK$224
- Spinal-Stim$141
- Physio-Stim$141
- ANATOMIC PEEK PTC CERVICAL FUSION SYSTEM$136
- SPINE TRUSS SYSTEM$115
How this compares
$9,779 in reported general payments places this provider in the 60th percentile of 196 neurological surgery providers in North 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 35 | $236 |
| Gabapentin | 14 | $90 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Fayetteville
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- John ThomasWilmington$1.8M
- Alexander PowersKernersville$1.7M
- Charles BranchAdvance$1.6M
- Paul KimCharlotte$1.5M
- William HunterGastonia$1.3M
- Kevin CahillSupply$1.1M
- Matthew McGirtCharlotte$693K
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.