Joseph Morreale
Orthopaedic Surgery of the Spine · Westminster, CONPI 1659509875
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (30.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 38 manufacturers reported payments, led by Aesculap Implant Systems, LLC at 26.5% of the total. Reporting peaked in 2019 at $19,113 and has fallen 90.2% since, to $1,874 in 2025.
Across 275 payments — averaging $173.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aesculap Implant Systems, LLC$13K
- Innovasis Inc$11K
- Spineart USA Inc$6K
- Alphatec Spine, Inc$4K
- Cerapedics Inc.$3K
- Globus Medical$3K
- plus $9K from 32 others
What the payments were for
- Consulting fees$13,82529%
- Speaking & faculty fees$7,50316%
- Travel & lodging$14,65531%
- Food & beverage$11,62424%
- Gifts$210%
- Entertainment$1100%
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 |
|---|---|---|
| Aesculap Implant Systems, LLC | 22 | $12,659 |
| Innovasis Inc | 17 | $10,771 |
| Spineart USA Inc | 25 | $5,720 |
| Alphatec Spine, Inc | 40 | $3,980 |
| Cerapedics Inc. | 4 | $3,126 |
| Globus Medical(2 entities) | 40 | $2,724 |
| Endo USA, Inc. | 8 | $1,126 |
| Boston Scientific | 8 | $1,115 |
| Spineology Inc. | 5 | $1,084 |
| Stryker | 16 | $770 |
| Johnson & Johnson | 20 | $660 |
| Medtronic(2 entities) | 7 | $511 |
| Centinel Spine, LLC | 4 | $439 |
| Zimmer Biomet | 8 | $375 |
| Orthofix Medical, Inc. | 6 | $331 |
| Nexxt Spine LLC | 5 | $327 |
| Highridge Medical LLC | 3 | $288 |
| Expanding Innovations, Inc. | 3 | $274 |
| Nevro Corp. | 3 | $264 |
| Si-bone, Inc. | 8 | $187 |
| Amgen | 2 | $146 |
| Elevation Spine, Inc. | 1 | $119 |
| Argentum Medical | 2 | $110 |
| Camber Spine Technologies LLC | 2 | $84 |
| Zimvie Inc. | 2 | $73 |
| Abbott | 1 | $69 |
| Kuros Biosciences USA, Inc | 1 | $59 |
| Next Science LLC | 1 | $51 |
| Integrity Implants Inc. | 1 | $49 |
| CTL Medical Corporation | 2 | $46 |
| Providence Medical Technology, Inc. | 1 | $45 |
| Baxter Healthcare | 1 | $29 |
| Innovation Technologies Inc | 1 | $27 |
| Gemini Mountain Medical, LLC | 1 | $21 |
| Augmedics Inc. | 1 | $21 |
| DJO, LLC | 1 | $20 |
| Aesculap, Inc. | 1 | $20 |
| Theragen, Inc. | 1 | $18 |
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.
- ACTIVL ARTIFICIAL DISC$11,344
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$3,000
- Scarlet AL-T$2,896
- Other - Miscellaneous$2,761
- CREO MIS$1,119
- TRYPTIK Ti$926
- Rampart One Interbody Fusion System$855
- JULIET TL Ti$829
- ACTIVL$486
- PRODISC C VIVO$268
- Senza$258
- Perla TL$245
- O-ARM$165
- MOBI-C PLUG & FIT US$146
- FIBERGRAFT BG Morsels$125
- KRYSTEXXA$122
- CURE ACP$119
- Nexxt Spine Product Portfolio$117
- Rampart Duo Ti Interbody Fusion System$117
- X-PAC$116
How this compares
$47,738 in reported general payments places this provider in the 60th percentile of 69 orthopaedic surgery of the spine providers in Colorado.
See all orthopaedic surgery of the spine providers in Colorado →
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 18 | $128 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $126 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Westminster
- Gregory Fasani-FeldbergWestminster$25K
- George FreyDenver$5.3M
- Christopher CainAurora$3.3M
- Edward DonnerJohnstown$2.5M
- Jim YoussefDurango$2.3M
- Scott StanleyParker$1.7M
- Timothy KukloDenver$1.3M
- Michael GallizziLone Tree$1.2M
- Douglas BeardFort Collins$583K
- Robert BenzFort Collins$581K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.