Nicholas Renaldo, MD
Orthopaedic Surgery of the Spine · Poughkeepsie, NYNPI 1750619029
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (58.7%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Precision Spine, Inc. accounts for 80.8% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2023 at $61,028 and has fallen 66.1% since, to $20,702 in 2025. Among orthopaedic surgery of the spine clinicians in NY 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 231 payments — averaging $1105.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Precision Spine, Inc.$206K
- 4web, Inc.$25K
- Globus Medical$17K
- Misonix Inc$2K
- Medtronic$1K
- Arthrex$1K
- plus $3K from 12 others
What the payments were for
- Royalty or licence$149,79259%
- Consulting fees$92,96136%
- Travel & lodging$5,6232%
- Food & beverage$6,8923%
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 |
|---|---|---|
| Precision Spine, Inc. | 56 | $206,220 |
| 4web, Inc. | 21 | $24,706 |
| Globus Medical(2 entities) | 56 | $16,895 |
| Misonix Inc | 2 | $1,700 |
| Medtronic(3 entities) | 44 | $1,330 |
| Arthrex | 7 | $1,096 |
| Alphatec Spine, Inc | 19 | $1,069 |
| Gotham Surgical Solutions & Devices, Inc. | 4 | $840 |
| Boston Scientific | 5 | $306 |
| Zimmer Biomet | 3 | $265 |
| Relievant Medsystems, Inc. | 2 | $187 |
| DJO, LLC | 4 | $165 |
| Si-bone, Inc. | 1 | $150 |
| Dilon Technologies, Inc. | 1 | $148 |
| Stryker | 2 | $70 |
| Centinel Spine, LLC | 1 | $46 |
| Johnson & Johnson | 1 | $40 |
| Endo Pharmaceuticals Inc. | 2 | $36 |
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.
- Reform HA Coated Pedicle Screw System$117,992
- REFORM MIDLINE CORTICAL SCREW SYSTEM$91,169
- SLIMPLICITY PLUS ANTERIOR CERVICAL PLATING SYSTEM$91,169
- SURE-LOK EXTENDED TAB PEDICLE SCREW SYSTEM$91,169
- MD Max ULIF$59,006
- Reform HA Coated Pedical Screw System$37,828
- REFORM MIDLINE CORTICAL$37,828
- REFORM TI HA COATED PEDICLE SCREW SYSTEM$37,828
- Slimplicity Anterior Cervical Plate Plus$37,828
- Sure-Lok Percutaneous Pedicale Screw System$28,051
- SPINE TRUSS SYSTEM$24,391
- MD Max Screws$23,112
- Reform HA Coated Screws$20,493
- SURE-LOK PERCUTANEOUS PEDICLE SCREW SYSTEM$9,777
- TLIF$8,704
- XLIF$7,364
- REFORM TI HA COATED PEDICLE SCREW$5,339
- Vault C$5,091
- REFORM HA COATED PEDICLE SCREW SYS$4,998
- MAS TLIF RETRACTOR$4,750
How this compares
$255,268 in reported general payments places this provider in the 90th percentile of 161 orthopaedic surgery of the spine providers in New York.
See all orthopaedic surgery of the spine providers in New York →
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 |
|---|---|---|
| Meloxicam | 379 | $972 |
| Cyclobenzaprine Hcl | 162 | $573 |
| Methylprednisolone | 68 | $510 |
| Gabapentin | 120 | $484 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 37 | $281 |
| Tramadol Hcl | 94 | $249 |
| Mupirocin | 45 | $234 |
| Naproxen | 21 | $101 |
| Oxycodone Hcl | 18 | $54 |
| Diazepam | 16 | $40 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Poughkeepsie
- Richard PerkinsPoughkeepsie$67K
- Hansen YuanSyracuse$31.7M
- Frank SchwabNew York$5.1M
- Han KimNew York$3.9M
- Todd AlbertNew York$2.7M
- Jeffrey SpivakNew York$1.3M
- Aaron BucklandNew York$1M
- Seth NeubardtWhite Plains$902K
- Sheeraz QureshiNew York$828K
- Jeffrey GoldsteinNew York$765K
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.