Pasquale Montesano
Orthopaedic Surgery of the Spine · Palm Beach Gardens, FLNPI 1992814743
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $116,688 of the $191,541 with a category attached, or 60.9%. Precision Spine, Inc. accounts for 87.3% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2019 at $64,788 and has fallen 86.8% since, to $8,551 in 2025.
Across 54 payments — averaging $3547.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Precision Spine, Inc.$167K
- Mirus, LLC$12K
- Solco Biomedical Corporation$4K
- Aegis Spine, Inc.$3K
- Spineart USA Inc$2K
- Alphatec Spine, Inc$2K
- plus $2K from 12 others
What the payments were for
- Royalty or licence$116,68861%
- Consulting fees$67,63135%
- Travel & lodging$4,8673%
- Food & beverage$2,3561%
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. | 12 | $167,223 |
| Mirus, LLC | 3 | $11,652 |
| Solco Biomedical Corporation | 3 | $3,750 |
| Aegis Spine, Inc. | 2 | $2,520 |
| Spineart USA Inc | 2 | $2,253 |
| Alphatec Spine, Inc | 9 | $2,241 |
| Spinal Elements, Inc. | 1 | $693 |
| Orthofix Medical, Inc. | 10 | $490 |
| Stryker | 2 | $132 |
| Nevro Corp. | 1 | $125 |
| Acuity Surgical Devices, LLC | 1 | $108 |
| Johnson & Johnson | 1 | $97 |
| Abbott | 1 | $88 |
| Silony Medical Corp. | 1 | $85 |
| Integrity Implants Inc. | 2 | $38 |
| Pacira Pharmaceuticals Incorporated | 1 | $18 |
| Genentech USA, Inc. | 1 | $16 |
| Omeros Corporation | 1 | $14 |
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.
- 15 degree ALIF Cages$68,174
- 10 DEGREES CRTP CAGES$61,381
- INTERVERTEBRAL BODY FUSION DEVICE$37,669
- SHURFIT INTERBODY DEVICE$37,669
- Vault ALIF$26,735
- EUROPA Pedicle Screw System$11,652
- Other - Miscellaneous$1,787
- CYGNUS Anterior Cervical Plate$1,500
- 4CIS PINEHURST ANTERIOR CERVICAL PLATE SYSTEM$1,250
- 4CIS MARLIN ACIF CAGE SYSTEM$1,250
- PERLA C$1,131
- Scarlet AL-T$1,122
- Medical Device$693
- LIF$350
- Omnia$125
- MONTEREY AL$106
How this compares
$191,541 in reported general payments places this provider in the 75th percentile of 159 orthopaedic surgery of the spine providers in Florida.
See all orthopaedic surgery of the spine providers in Florida →
Other orthopaedic surgery of the spine in Palm Beach Gardens
- Philip SavillePalm Beach Gardens$108K
- Kyle PetersenPalm Beach Gardens$43K
- Harry ShufflebargerMiami$3.5M
- Paul KellerMelbourne$3.4M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
- Samuel JosephSafety Harbor$1.7M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.