Leonard Kibuule, MD
Orthopaedic Surgery of the Spine · Houston, TXNPI 1962629543
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $396,338 of the $621,134 with a category attached, or 63.8%. Medtronic accounts for 93.9% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2019 at $192,429 and has fallen 98.2% since, to $3,516 in 2025. Among orthopaedic surgery of the spine clinicians in TX 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 821 payments — averaging $756.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$584K
- Globus Medical$19K
- Relievant Medsystems, Inc.$13K
- Stryker$1K
- Johnson & Johnson$992
- Nexxt Spine LLC$530
- plus $3K from 21 others
Across 2 payments — averaging $23,688 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.
- Medtronic$47K
What the payments were for
- Consulting fees$147,12324%
- Speaking & faculty fees$396,33864%
- Travel & lodging$52,6588%
- Food & beverage$25,0154%
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 |
|---|---|---|
| Medtronic(2 entities) | 658 | $583,521 |
| Globus Medical(2 entities) | 63 | $19,211 |
| Relievant Medsystems, Inc. | 19 | $13,110 |
| Stryker | 17 | $1,201 |
| Johnson & Johnson(2 entities) | 16 | $992 |
| Nexxt Spine LLC | 3 | $530 |
| Xtant Medical Inc | 3 | $323 |
| Nevro Corp. | 6 | $312 |
| Cerapedics Inc. | 2 | $294 |
| Alphatec Spine, Inc | 2 | $228 |
| Novapproach Spine, LLC | 3 | $191 |
| Si-bone, Inc. | 2 | $188 |
| Osteocentric Technologies, Inc. | 1 | $148 |
| Bioventus LLC | 4 | $136 |
| Orthofix Medical, Inc. | 1 | $132 |
| Zimmer Biomet | 1 | $105 |
| Abbott | 4 | $83 |
| Saluda Medical Americas, Inc. | 2 | $79 |
| Boston Scientific | 4 | $75 |
| Zavation Medical Products, LLC | 1 | $61 |
| Spinal Elements, Inc. | 1 | $48 |
| Scilex Pharmaceuticals Inc. | 2 | $37 |
| Vericel Corporation | 2 | $35 |
| Biocomposites Inc | 1 | $31 |
| Viseon, Inc. | 1 | $28 |
| Biotronik NRO, Inc. | 1 | $22 |
| Arteriocyte Medical Systems, 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.
- PIVOX Oblique Lateral Spinal System$161,707
- MAZOR X SYSTEM$88,764
- O-ARM-ST$57,978
- CD HORIZON$43,712
- CD HORIZON SPINAL SYSTEM$41,532
- DIVERGENCE-L$35,545
- CLYDESDALE$33,448
- MazorX - Renaissance$25,309
- Intracept$25,190
- KYPHON Balloon Kyphoplasty$11,994
- Mazor X Stealth Edition$11,993
- KYPHON EXPRESS II KYPHOPAK TRAY$7,502
- StealthStation$6,965
- O-ARM$6,584
- AQUAMANTYS$5,531
- Pulse$5,423
- TLIF$3,875
- O-ARM-Spine$2,387
- CLYDESDALE PTC SPINAL SYSTEM$1,649
- XLIF$1,423
How this compares
$621,134 in reported general payments places this provider in the 90th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $247 |
| Methylprednisolone | 36 | $192 |
| Tramadol Hcl | 21 | $66 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Houston
- David WimberleyHouston$2.2M
- Shah-Nawaz DodwadHouston$710K
- Vivek KushwahaHouston$573K
- Robert MohrHouston$352K
- Bernhard MeyerHouston$238K
- Ryan StuckeyHouston$181K
- Rex MarcoHouston$174K
- Richard FrancisHouston$156K
- Ra'kerry RahmanHouston$45K
- Randall DryerAustin$2.9M
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.