Mark Spangehl, MD
Orthopaedic Surgery · Phoenix, AZNPI 1568447191
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $38,984 of the $45,582 with a category attached, or 85.5%. 10 manufacturers reported payments, led by Bodycad USA Corp at 54.0% of the total. Reporting peaked in 2019 at $28,203 and has fallen 71.5% since, to $8,051 in 2025.
Across 61 payments — averaging $747.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Bodycad USA Corp$25K
- Zimmer Biomet$10K
- Davol Inc.$7K
- Stryker$3K
- Heraeus Medical, LLC.$625
- Smith+Nephew$268
- plus $356 from 4 others
Across 39 payments — averaging $2159.03 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.
- Medical Device Business Services, Inc.$82K
- Zimmer Biomet$2K
What the payments were for
- Consulting fees$38,98486%
- Travel & lodging$2,7936%
- Food & beverage$3,8058%
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 |
|---|---|---|
| Bodycad USA Corp | 11 | $24,623 |
| Zimmer Biomet | 20 | $9,740 |
| Davol Inc. | 3 | $6,809 |
| Stryker | 20 | $3,161 |
| Heraeus Medical, LLC. | 1 | $625 |
| Smith+Nephew | 2 | $268 |
| Medtronic | 1 | $128 |
| Siemens Medical Solutions USA, Inc. | 1 | $112 |
| Johnson & Johnson | 1 | $107 |
| Orthofix Medical, Inc. | 1 | $9 |
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.
- REFLEX$5,564
- Knees Product Portfolio$5,500
- ROSA$2,639
- MAKO$1,907
- ROSA-Knee$1,000
- SYSTEM 9 CD NXT$839
- PALACOS$625
- Legion$147
- Navio Surgical System$147
- PICO 7 Single Use Negative Pressure Wound Therapy$147
- REGENESORB$147
- CD HORIZON$128
- TRIATHLON$124
- Arcos$123
- REAL INTELLIGENCE$121
- MicroThermX Microwave Ablation System$112
- TFN ADVANCED$107
How this compares
$45,582 in reported general payments places this provider in the 85th percentile of 377 orthopaedic surgery providers in Arizona.
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 |
|---|---|---|
| Amoxicillin | 28 | $28 |
| Clindamycin Hcl | 12 | $19 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Phoenix
- Evan LedermanPhoenix$12M
- James ChowPhoenix$6.1M
- Michael McKeePhoenix$3.4M
- Henry ClarkePhoenix$1.9M
- Samuel HarmsenPhoenix$735K
- Anthony HedleyPhoenix$415K
- Matthew SeidelPhoenix$397K
- David OttPhoenix$380K
- Michael WilminkPhoenix$347K
- Judd CummingsPhoenix$269K
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.