Kevin Disilvestro, MD
Orthopaedic Surgery of the Spine · Worcester, MANPI 1679003263
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,477 of the $9,471 with a category attached, or 78.9%. 7 manufacturers reported payments, led by Stryker at 45.5% of the total. Reporting peaked in 2021 at $3,165 and has fallen 56.5% since, to $1,376 in 2024. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in MA, where the typical reported total is $21,142.
Across 71 payments — averaging $133.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Spineart USA Inc$3K
- Globus Medical$899
- Alphatec Spine, Inc$514
- Si-bone, Inc.$481
- Augmedics Inc.$322
- plus $209 from 1 others
What the payments were for
- Travel & lodging$1,99421%
- Food & beverage$7,47779%
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 |
|---|---|---|
| Stryker | 42 | $4,312 |
| Spineart USA Inc | 6 | $2,734 |
| Globus Medical(2 entities) | 9 | $899 |
| Alphatec Spine, Inc | 4 | $514 |
| Si-bone, Inc. | 3 | $481 |
| Augmedics Inc. | 2 | $322 |
| Zimmer Biomet | 5 | $209 |
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.
- Perla TL$2,654
- Xvision$1,395
- N/A$1,112
- CASCADIA INTERBODY SYSTEM$465
- BIO4$448
- EVEREST SPINAL SYSTEM$399
- Other - Miscellaneous$364
- NA$316
- SERRATO$215
- RELINE$205
- PCM$202
- Excelsius3D Imaging System$175
- GAMMA$175
- VITOSS$170
- CHESAPEAKE STABILIZATION SYSTEM$156
- ADIRA$151
- FORTIFY$148
- ZNN$142
How this compares
$9,471 in reported general payments places this provider in the 30th percentile of 28 orthopaedic surgery of the spine providers in Massachusetts.
See all orthopaedic surgery of the spine providers in Massachusetts →
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 orthopaedic surgery of the spine in Worcester
- Paul GlazerChestnut Hill$2.1M
- Raymond HwangChestnut Hill$1.1M
- Robert BancoWellesley Hills$661K
- Mitchell HardenbrookHopedale$542K
- Steven LeckiePlymouth$316K
- Jeremy ShorePeabody$232K
- Richard OzunaPeabody$198K
- Nikhil ThakurNorth Andover$118K
- Chadi TannouryBoston$81K
- Bryce BasquesRaynham$72K
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.