Jonathon Spanyer, MD
Orthopaedic Surgery · Cincinnati, OHNPI 1770726481
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $154,029 of the $193,198 with a category attached, or 79.7%. 10 manufacturers reported payments, led by Smith+Nephew at 48.6% of the total. 2025 is the largest year on record at $66,855, 2.1 times the $32,383 reported in 2019. Among orthopaedic surgery clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 178 payments — averaging $1085.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$94K
- Medacta USA, Inc.$46K
- Medical Device Business Services, Inc.$35K
- Depuy Synthes Products, Inc.$16K
- CDC Medical LLC$1K
- Conformis, Inc.$141
- plus $289 from 4 others
What the payments were for
- Consulting fees$154,02980%
- Speaking & faculty fees$18,1169%
- Travel & lodging$13,6227%
- Food & beverage$6,3353%
- Education$1,0951%
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 |
|---|---|---|
| Smith+Nephew | 91 | $93,906 |
| Medacta USA, Inc. | 14 | $46,252 |
| Medical Device Business Services, Inc. | 38 | $35,021 |
| Depuy Synthes Products, Inc. | 19 | $16,494 |
| CDC Medical LLC | 1 | $1,095 |
| Conformis, Inc. | 2 | $141 |
| Johnson & Johnson(2 entities) | 8 | $140 |
| Zimmer Biomet | 3 | $81 |
| Stryker | 1 | $37 |
| Onkos Surgical, Inc. | 1 | $31 |
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.
- Journey II$237,634
- REAL INTELLIGENCE$65,272
- PINNACLE$47,279
- RECLAIM$45,896
- Pinnacle Gription TF$44,316
- NA$44,316
- AMISTEM$33,500
- Journey II XR$14,203
- Engage Partial Knee System$12,969
- K-15 PORK$9,319
- POLARSTEM$5,478
- Tandem$4,978
- Legion Revision$4,554
- Journey II CR$4,128
- Journey II BCS$4,000
- REDAPT$3,970
- GMK SPHERE$3,648
- Legion$3,508
- GRIPTION TF$2,963
- PROTRUSIO$2,963
How this compares
$193,198 in reported general payments places this provider in the 95th percentile of 794 orthopaedic surgery providers in Ohio.
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 Hcl | 699 | $3,497 |
| Diclofenac Sodium | 84 | $1,129 |
| Dexamethasone | 75 | $667 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 87 | $511 |
| Cephalexin | 271 | $433 |
| Tramadol Hcl | 77 | $263 |
| Clindamycin Hcl | 35 | $95 |
| Amoxicillin | 121 | $86 |
| Gabapentin | 33 | $58 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $54 |
| Meloxicam | 17 | $50 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Cincinnati
- Michael ArchdeaconCincinnati$2.3M
- Paul FavoritoCincinnati$961K
- Michael SwankCincinnati$563K
- Suresh NayakCincinnati$536K
- John WyrickCincinnati$169K
- Robert RolfCincinnati$128K
- Todd KelleyCincinnati$71K
- Reuben GobezieCleveland$12M
- Gregory BerletWorthington$9.6M
- Wael BarsoumCleveland$8.9M
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.