Michael Czulinski, DO
Orthopaedic Surgery of the Spine · Bristol, TNNPI 1801240130
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $4,738 of the $5,901 with a category attached, or 80.3%. 5 manufacturers reported payments, led by Medtronic at 33.5% of the total. Reporting peaked in 2024 at $3,939 and has fallen 61.3% since, to $1,525 in 2025. That places this record below the midpoint for orthopaedic surgery of the spine clinicians in TN, where the typical reported total is $7,717.
Across 34 payments — averaging $173.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Alphatec Spine, Inc$2K
- Synthes GmbH$2K
- Si-bone, Inc.$130
- Globus Medical$65
What the payments were for
- Travel & lodging$4,73880%
- Food & beverage$1,16320%
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 | 22 | $1,978 |
| Alphatec Spine, Inc | 8 | $1,977 |
| Synthes GmbH | 2 | $1,752 |
| Si-bone, Inc. | 1 | $130 |
| Globus Medical | 1 | $65 |
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.
- Other - Miscellaneous$1,685
- INTELLIS ADAPTIVESTIM$1,067
- UNID_PASS$163
- CD HORIZON SPINAL SYSTEM$152
- INVICTUS OPEN$123
How this compares
$5,901 in reported general payments places this provider in the 40th percentile of 51 orthopaedic surgery of the spine providers in Tennessee.
See all orthopaedic surgery of the spine providers in Tennessee →
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 |
|---|---|---|
| Methylprednisolone | 34 | $291 |
| Gabapentin | 32 | $254 |
| Meloxicam | 33 | $96 |
| Methocarbamol | 11 | $60 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Bristol
- Lawrence BabatNashville$928K
- Raymond GardockiNashville$666K
- Samuel SchroerluckeMemphis$451K
- James JolleyChattanooga$231K
- John BurlesonSmyrna$184K
- Michael McNamaraFranklin$150K
- John KlekampFranklin$148K
- Daniel WellsKnoxville$135K
- Colin CrosbyNashville$134K
- Garrick CasonCleveland$65K
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.