Larry Parker, MD
Orthopaedic Surgery of the Spine · Huntsville, ALNPI 1770521551
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $86,172 of the $135,609 with a category attached, or 63.5%. Precision Spine, Inc. accounts for 76.9% of it on its own, with 21 other manufacturers making up the rest.
Across 142 payments — averaging $954.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Precision Spine, Inc.$104K
- Ulrich Medical USA, Inc.$22K
- Medtronic$3K
- Intrinsic Therapeutics$2K
- Highridge Medical LLC$2K
- Curiteva, Inc.$934
- plus $2K from 16 others
Across 12 payments — averaging $267.40 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.
- Intrinsic Therapeutics$3K
- Medtronic$209
What the payments were for
- Royalty or licence$86,17264%
- Consulting fees$42,68631%
- Travel & lodging$2,6192%
- Food & beverage$4,1313%
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 |
|---|---|---|
| Precision Spine, Inc. | 34 | $104,220 |
| Ulrich Medical USA, Inc. | 3 | $22,356 |
| Medtronic | 8 | $3,149 |
| Intrinsic Therapeutics | 21 | $1,635 |
| Highridge Medical LLC | 1 | $1,500 |
| Curiteva, Inc. | 1 | $934 |
| Amgen | 24 | $333 |
| Providence Medical Technology, Inc. | 10 | $285 |
| Si-bone, Inc. | 6 | $189 |
| Spineology Inc. | 1 | $152 |
| Johnson & Johnson(2 entities) | 7 | $134 |
| Abbott | 6 | $130 |
| Kerecis Limited | 3 | $118 |
| Orthofix Medical, Inc. | 1 | $95 |
| Boston Scientific | 4 | $88 |
| Baxter Healthcare | 4 | $82 |
| Globus Medical(2 entities) | 2 | $77 |
| Trackx Technology, Inc. | 2 | $45 |
| Ossdsign USA Incorporated | 1 | $28 |
| Prime Surgical, LLC | 1 | $24 |
| Sanara Medtech Inc. | 1 | $22 |
| Convatec Inc. | 1 | $16 |
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.
- ACCUFIT LATERAL PLATE SYSTEM$68,759
- ShurFit MALIF Interbody System$49,555
- SURELOK MIS 3L$49,178
- REFORM TI CT MODULAR MIS PEDICLE SCREW SYSTEM$36,797
- SHURFIT MALIF SYSTEM$19,205
- MALIF$15,938
- MD Vue Lateral Access System$8,115
- LATERAL PLATE SYSTEM$4,363
- Vault C$2,500
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$1,724
- Timberline$1,500
- CLYDESDALE PTC SPINAL SYSTEM$578
- Rampart Duo Interbody Fusion System$152
How this compares
$135,609 in reported general payments places this provider in the 70th percentile of 20 orthopaedic surgery of the spine providers in Alabama.
See all orthopaedic surgery of the spine providers in Alabama →
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 |
|---|---|---|
| Duloxetine Hcl | 267 | $3,616 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 416 | $3,376 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 287 | $3,332 |
| Gabapentin | 366 | $2,413 |
| Methylprednisolone | 261 | $2,011 |
| Cyclobenzaprine Hcl | 456 | $1,632 |
| Tizanidine Hcl | 100 | $1,219 |
| Methocarbamol | 127 | $925 |
| Diclofenac Sodium | 16 | $551 |
| Mupirocin | 41 | $374 |
| Pregabalin | 33 | $345 |
| Celecoxib | 15 | $314 |
| Meloxicam | 102 | $296 |
| Tramadol Hcl | 80 | $184 |
| Baclofen | 21 | $173 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Huntsville
- Javier RetoHuntsville$768K
- Morris SeymourHuntsville$9K
- Murray SpruiellHuntsville$6K
- Franklin SammonsHuntsville$3K
- John Rodriguez-FeoHuntsville$2K
- Timothy HoltMontgomery$478K
- Timothy BassettTuscaloosa$291K
- Phillip KravetzCullman$224K
- Charles GordonDaphne$208K
- Todd VolkmanMobile$34K
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.