Nicholas Spina, MD
Orthopaedic Surgery of the Spine · Seattle, WANPI 1841422631
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.4%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Axis Spine Technologies Inc. accounts for 60.7% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $38,656, more than ten times the $152 reported in 2019.
Across 82 payments — averaging $1190.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axis Spine Technologies Inc.$59K
- Synthes GmbH$19K
- Depuy Synthes Products, Inc.$9K
- Kuros Biosciences USA, Inc$8K
- Medical Device Business Services, Inc.$605
- Alphatec Spine, Inc$405
- plus $959 from 5 others
What the payments were for
- Royalty or licence$7,2607%
- Consulting fees$43,30044%
- Speaking & faculty fees$13,00013%
- Travel & lodging$30,77132%
- Food & beverage$3,2573%
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 |
|---|---|---|
| Axis Spine Technologies Inc. | 19 | $59,198 |
| Synthes GmbH | 30 | $19,396 |
| Depuy Synthes Products, Inc. | 8 | $8,926 |
| Kuros Biosciences USA, Inc | 9 | $8,100 |
| Medical Device Business Services, Inc. | 1 | $605 |
| Alphatec Spine, Inc | 2 | $405 |
| Stryker | 4 | $349 |
| Johnson & Johnson | 5 | $287 |
| Globus Medical(2 entities) | 2 | $201 |
| MML US, Inc. | 1 | $98 |
| Medtronic | 1 | $24 |
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.
- Axis Spine Technologies ALIF$24,619
- Axis Spine Technologies ALIF Implant$19,125
- orthopedic spinal implants$15,265
- MagnetOs$7,860
- MOUNTAINEER$7,260
- Velys$2,351
- CASCADIA INTERBODY SYSTEM$307
- LIF$250
- Pulse$152
- Teligen$106
How this compares
$97,588 in reported general payments places this provider in the 85th 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.
Other orthopaedic surgery of the spine in Seattle
- Rajiv SethiSeattle$2.9M
- Richard BransfordSeattle$413K
- Jens ChapmanSeattle$394K
- Venu NemaniSeattle$199K
- Philip LouieSeattle$132K
- Farhan KarimSeattle$59K
- Haitao ZhouSeattle$48K
- Edward JungSeattle$35K
- Carlo BellabarbaSeattle$13K
- Karina KatchkoSeattle$13K
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.