Leo Spector, MD
Orthopaedic Surgery · Charlotte, NCNPI 1639100506
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (52.3%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Globus Medical at 40.0% of the total. Reporting peaked in 2023 at $28,753 and has fallen 88.1% since, to $3,436 in 2025. Among orthopaedic surgery clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 208 payments — averaging $519.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$43K
- Cutting Edge Spine, LLC$26K
- Stryker$10K
- Medical Device Business Services, Inc.$7K
- Cerapedics Inc.$7K
- Spine Wave, Inc.$5K
- plus $11K from 11 others
Across 4 payments — averaging $5025.00 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.
- Tyber Medical, LLC$20K
What the payments were for
- Royalty or licence$25,58724%
- Consulting fees$56,45552%
- Speaking & faculty fees$2,0002%
- Travel & lodging$16,66815%
- Food & beverage$6,6976%
- Education$5701%
- Gifts$340%
- Entertainment$280%
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 |
|---|---|---|
| Globus Medical(2 entities) | 99 | $43,267 |
| Cutting Edge Spine, LLC | 10 | $25,587 |
| Stryker | 11 | $10,255 |
| Medical Device Business Services, Inc. | 3 | $7,020 |
| Cerapedics Inc. | 19 | $6,566 |
| Spine Wave, Inc. | 9 | $4,637 |
| Peerless Surgical Inc. | 3 | $3,782 |
| Synthes GmbH | 2 | $2,000 |
| Orthofix Medical, Inc. | 11 | $1,705 |
| Medtronic(2 entities) | 19 | $1,444 |
| Johnson & Johnson(2 entities) | 5 | $792 |
| Imbed Biosciences Inc. | 11 | $714 |
| Edwards Lifesciences | 1 | $156 |
| Masimo Corporation | 2 | $42 |
| Theradaptive, Inc. | 1 | $34 |
| Arthrex | 1 | $24 |
| Zyla Life Sciences, Inc. | 1 | $13 |
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.
- XLIF$13,984
- ALIF$12,146
- MAKO$9,945
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$6,202
- TLIF$3,040
- Modulus$2,873
- SALVO SPINE SYSTEM$1,750
- Pulse$1,619
- Lattus$1,227
- MOUNTAINEER$1,170
- SYMPHONY$1,170
- SYNAPSE$1,170
- ExcelsiusGPS Robotic Navigation System$1,158
- RELINE$397
- VuePoint$397
- TLX$397
- 7D Surgical System$309
- SOVEREIGN SPINAL SYSTEM$300
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$273
- NEW PRODUCT DEVELOPMENT$261
How this compares
$108,040 in reported general payments places this provider in the 90th percentile of 845 orthopaedic surgery providers in North Carolina.
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 | 94 | $1,133 |
| Pregabalin | 23 | $353 |
| Methylprednisolone | 28 | $197 |
| Naproxen | 28 | $168 |
| Tizanidine Hcl | 38 | $137 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Charlotte
- Thomas FehringCharlotte$18.3M
- Walter BeaverCharlotte$7.4M
- Robert AndersonCharlotte$6.6M
- John MasonCharlotte$5.7M
- William DavisCharlotte$5.2M
- John EllingtonCharlotte$4.9M
- Carroll JonesCharlotte$3.6M
- John MasonisCharlotte$3.4M
- Bruce CohenCharlotte$2.4M
- Anthony KwonCharlotte$1.9M
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.