Lance Tigyer, DO
Orthopaedic Surgery of the Spine · Dayton, OHNPI 1558320408
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $18,984 of the $29,072 with a category attached, or 65.3%. 22 manufacturers reported payments, led by Medacta USA, Inc. at 56.9% of the total. Reporting peaked in 2019 at $16,933 and has fallen 88.8% since, to $1,891 in 2025.
Across 137 payments — averaging $212.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medacta USA, Inc.$17K
- CTL Medical Corporation$6K
- Boston Scientific$2K
- Centinel Spine, LLC$2K
- Integrity Implants Inc.$1K
- Abbott$975
- plus $1K from 16 others
What the payments were for
- Consulting fees$3,90013%
- Travel & lodging$18,98465%
- Food & beverage$5,74220%
- Gifts$4472%
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 |
|---|---|---|
| Medacta USA, Inc. | 23 | $16,530 |
| CTL Medical Corporation | 9 | $6,168 |
| Boston Scientific | 47 | $1,637 |
| Centinel Spine, LLC | 4 | $1,593 |
| Integrity Implants Inc. | 3 | $1,052 |
| Abbott | 19 | $975 |
| Nevro Corp. | 7 | $207 |
| Camber Spine Technologies LLC | 2 | $156 |
| Zimvie Inc. | 1 | $148 |
| Elevation Spine, Inc. | 1 | $117 |
| Medtronic(2 entities) | 3 | $113 |
| Globus Medical | 3 | $76 |
| Saluda Medical Americas, Inc. | 5 | $71 |
| Curonix LLC | 2 | $51 |
| Lemaitre Vascular, Inc. | 1 | $31 |
| Johnson & Johnson | 1 | $29 |
| Convatec Inc. | 1 | $24 |
| Vertex | 1 | $23 |
| Amgen | 1 | $21 |
| Zimmer Biomet | 1 | $19 |
| Vertos Medical, Inc. | 1 | $18 |
| Pacira Therapeutics, Inc. | 1 | $14 |
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.
- MYSPINE$15,913
- Spinal$5,859
- PRODISC C$1,113
- PROCLAIM$595
- PRODISC L$425
- Raphael Pedicle Screw System$240
- Mobi-C$148
- MECTALIF$125
- Intracept$120
- Proclaim IPG$107
How this compares
$29,072 in reported general payments places this provider in the 65th percentile of 64 orthopaedic surgery of the spine providers in Ohio.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Gabapentin | 89 | $779 |
| Doxycycline Hyclate | 52 | $331 |
| Tizanidine Hcl | 32 | $231 |
| Methocarbamol | 14 | $200 |
| Ibuprofen | 18 | $42 |
| Diazepam | 43 | $37 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Dayton
- Ashok BiyaniToledo$1.2M
- Jason SavageCleveland$735K
- Jerold GurleyCleveland$649K
- Scot MillerAkron$404K
- Paul EichenseerWesterville$369K
- Haariss IlyasCleveland$314K
- Jaideep ChunduriCincinnati$264K
- Selvon St ClairLima$168K
- Daryl SybertNew Albany$148K
- James FlemingChillicothe$128K
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.