Joseph Ciacci, MD
Neurological Surgery · San Diego, CANPI 1992725675
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $29,250 of the $34,894 with a category attached, or 83.8%. Neo Spine USA, Inc. accounts for 92.3% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $32,043, more than ten times the $389 reported in 2019.
Across 35 payments — averaging $996.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Neo Spine USA, Inc.$32K
- Spineart USA Inc$437
- Orthofix Medical, Inc.$380
- Spinal Elements, Inc.$326
- Integrity Implants Inc.$277
- Clariance, Inc.$260
- plus $1K from 8 others
Across 35 payments — averaging $71,915 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.
- Sumitomo Pharma Co., Ltd.$2.5M
- Sumitomo Pharma America, Inc.$52K
What the payments were for
- Consulting fees$29,25084%
- Travel & lodging$1,3364%
- Food & beverage$4,30812%
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 |
|---|---|---|
| Neo Spine USA, Inc. | 13 | $32,213 |
| Spineart USA Inc | 3 | $437 |
| Orthofix Medical, Inc. | 5 | $380 |
| Spinal Elements, Inc. | 3 | $326 |
| Integrity Implants Inc. | 2 | $277 |
| Clariance, Inc. | 1 | $260 |
| Nexxt Spine LLC | 1 | $245 |
| Axogen | 1 | $193 |
| 4web, Inc. | 1 | $148 |
| Terumo Medical Corporation | 1 | $145 |
| Xtant Medical Inc | 1 | $92 |
| Seaspine Orthopedics Corporation | 1 | $64 |
| Carlsmed, Inc. | 1 | $60 |
| Centinel Spine, LLC | 1 | $55 |
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.
- Neo Pedicle Screw System$32,101
- Perla TL$363
- Medical Device$270
- Struxxure MCS System$245
- Expandable Lateral$245
- AVANCE NERVE GRAFT$193
- AxoGuard Nerve Connector$193
- AxoGuard Nerve Protector$193
- AXOGUARD HA+ NERVE PROTECTOR$193
- AxoGuard Nerve Cap$193
- SPINE TRUSS SYSTEM$148
- Azur CX Detachable$145
- GlideWire$145
- TR Band$145
- ANGIO-SEAL$145
- Spinal-Stim$137
How this compares
$34,894 in reported general payments places this provider in the 80th percentile of 773 neurological surgery providers in California.
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.
Other neurological surgery in San Diego
- Samy AbdouSan Diego$2.4M
- William TaylorSan Diego$2.1M
- Joseph OsorioSan Diego$1.3M
- Vikram UdaniSan Diego$1.1M
- Arash Khalessi-HosseiniSan Diego$897K
- Alois ZaunerSan Diego$558K
- Scott LearySan Diego$352K
- Christopher AmesSan Francisco$7.1M
- Larry KhooLos Angeles$2.8M
- Bret AbshireMurrieta$2.3M
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.