Mark Freeborn, MD
Orthopaedic Surgery of the Spine · Kirkland, WANPI 1821107756
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $1,139,324 of the $1,791,407 with a category attached, or 63.6%. Globus Medical accounts for 99.3% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2023 at $594,142 and has fallen 50.8% since, to $292,391 in 2025. Among orthopaedic surgery of the spine clinicians in WA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 885 payments — averaging $2024.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$1.8M
- Alphatec Spine, Inc$3K
- Summit Surgical Corp.$2K
- MML US, Inc.$2K
- Seaspine Orthopedics Corporation$1K
- Invictus Surgical Incorporated$1K
- plus $3K from 9 others
Across 4 payments — averaging $2439.17 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.
- Globus Medical$10K
What the payments were for
- Royalty or licence$425,00024%
- Consulting fees$1,139,32464%
- Speaking & faculty fees$10,0001%
- Travel & lodging$195,17211%
- Food & beverage$20,2411%
- Education$1,5830%
- Entertainment$860%
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) | 814 | $1,779,678 |
| Alphatec Spine, Inc | 10 | $2,720 |
| Summit Surgical Corp. | 9 | $2,210 |
| MML US, Inc. | 13 | $1,931 |
| Seaspine Orthopedics Corporation | 9 | $1,206 |
| Invictus Surgical Incorporated | 5 | $1,009 |
| Orthofix Medical, Inc. | 10 | $1,006 |
| Stryker | 4 | $418 |
| Medtronic | 3 | $417 |
| Relievant Medsystems, Inc. | 2 | $213 |
| Augmedics Inc. | 1 | $180 |
| Viseon, Inc. | 1 | $151 |
| Surgalign Spine Technologies, Inc. | 1 | $147 |
| Arthrex | 2 | $100 |
| Smith+Nephew | 1 | $20 |
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$996,836
- ALIF$252,733
- Pulse$178,445
- COHERE$18,715
- Excelsius - GPS$14,680
- RISE$3,637
- Bendini$3,600
- ExcelsiusGPS Robotic Navigation System$2,446
- Other - Miscellaneous$2,302
- ReActiv8$1,704
- Xvision$902
- Mariner$891
- LessRay$860
- Modulus$764
- Shoreline ACS$624
- NanoMetalene Technology$624
- NVM5$523
- Excelsius3D Imaging System$479
- PHOENIX Minimally Invasive Spinal Fixation System$426
- Phoenix CDX$426
How this compares
$1,791,407 in reported general payments places this provider in the 95th percentile of 61 orthopaedic surgery of the spine providers in Washington.
See all orthopaedic surgery of the spine providers in Washington →
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 | 25 | $327 |
| Prednisone | 11 | $22 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Kirkland
- Brian DialKirkland$22K
- Antoine TohmehSpokane$4.3M
- Rajiv SethiSeattle$2.9M
- Alireza AnissipourEverett$598K
- Richard BransfordSeattle$413K
- Jens ChapmanSeattle$394K
- Venu NemaniSeattle$199K
- Philip LouieSeattle$132K
- John ShusterSpokane$124K
- Nicholas SpinaSeattle$98K
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.