Paul Speicher, MD
Surgery · Huntsville, ALNPI 1811213887
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (30.3%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Intuitive Surgical at 31.1% of the total. Reporting peaked in 2022 at $5,651 and has fallen 91.5% since, to $478 in 2025. Among surgery clinicians in AL 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 114 payments — averaging $143.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$5K
- Baxter Healthcare$5K
- Medtronic$3K
- Zimmer Biomet$1K
- Atricure, Inc.$584
- Integra Lifesciences Corporation$353
- plus $1K from 25 others
What the payments were for
- Consulting fees$4,22626%
- Speaking & faculty fees$1,1207%
- Travel & lodging$4,94530%
- Food & beverage$4,31126%
- Education$1,71010%
- Gifts$220%
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 |
|---|---|---|
| Intuitive Surgical | 18 | $5,074 |
| Baxter Healthcare | 13 | $4,843 |
| Medtronic | 21 | $2,891 |
| Zimmer Biomet | 9 | $1,446 |
| Atricure, Inc. | 9 | $584 |
| Integra Lifesciences Corporation | 3 | $353 |
| Davol Inc. | 2 | $193 |
| Abiomed | 7 | $168 |
| Edwards Lifesciences | 1 | $150 |
| Bolton Medical Inc | 3 | $114 |
| Cook Medical LLC | 3 | $59 |
| Johnson & Johnson(2 entities) | 3 | $57 |
| E.r. Squibb & Sons, L.L.C. | 2 | $35 |
| Angiodynamics, Inc. | 1 | $33 |
| Olympus America Inc. | 2 | $33 |
| Pulmonx Corporation | 1 | $32 |
| Clearflow Inc. | 1 | $30 |
| Cook Biotech Incorporated | 1 | $27 |
| Convatec Inc. | 1 | $24 |
| Prime Surgical, LLC | 1 | $21 |
| Endogastric Solutions, Inc | 2 | $20 |
| Kls-martin L.p. | 1 | $20 |
| LSI Solutions Inc | 1 | $16 |
| KCI USA, Inc. | 1 | $16 |
| Lemaitre Vascular, Inc. | 1 | $15 |
| TELA Bio, Inc. | 1 | $15 |
| Chiesi USA, Inc. | 1 | $14 |
| Medela LLC | 1 | $14 |
| Teleflex LLC | 1 | $14 |
| On Target Laboratories, Inc | 1 | $12 |
| Conmed Corporation | 1 | $12 |
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.
- Da Vinci Surgical System$4,878
- FLOSEAL$2,256
- TISSEEL$2,095
- INTEGRA$659
- LigaSure$603
- Signia$543
- OMNIGRAFT$330
- SURGIMEND$330
- INTEGRA DERMAL REGENERATION TEMPLATE$330
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$264
- Phasix Mesh$173
- INSPIRIS RESILIA aortic valve$150
- COSEAL$127
- BioSurgery - PERI-STRIPS$102
- RIBFIX BLU ADVANTAGE$101
How this compares
$16,335 in reported general payments places this provider in the 90th percentile of 382 surgery providers in Alabama.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 57 | $403 |
| Methocarbamol | 42 | $140 |
| Pantoprazole Sodium | 13 | $131 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 21 | $110 |
| Tramadol Hcl | 11 | $31 |
| Metoprolol Tartrate | 11 | $25 |
Paid to pharmacies, not to this prescriber.
Other surgery in Huntsville
- Dennis FernandezHuntsville$266K
- John PorterfieldBessemer$972K
- Barton WoodAlabaster$702K
- Forrest RingoldMobile$678K
- Cameron AskewBirmingham$236K
- Terry TreadwellMontgomery$127K
- Charles NewmanGadsden$123K
- Jason BeaverDothan$106K
- John TouliatosBirmingham$75K
- Jayme LockeBirmingham$63K
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.