Paul Spiegl
Foot and Ankle Surgery · Atlanta, GANPI 1477623098
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.3%), travel and lodging and education — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Exactech, Inc. at 25.4% of the total. Reporting peaked in 2020 at $2,771 and has fallen 70.2% since, to $824 in 2025.
Across 111 payments — averaging $101.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$3K
- United Orthopedics LLC$2K
- Stryker$2K
- Zimmer Biomet$933
- Paragon 28, Inc.$595
- Treace Medical Concepts, Inc.$415
- plus $2K from 27 others
What the payments were for
- Travel & lodging$3,02927%
- Food & beverage$5,75251%
- Education$2,43422%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Exactech, Inc. | 12 | $2,854 |
| United Orthopedics LLC | 1 | $2,434 |
| Stryker(2 entities) | 13 | $1,530 |
| Zimmer Biomet | 12 | $933 |
| Paragon 28, Inc. | 4 | $595 |
| Treace Medical Concepts, Inc. | 3 | $415 |
| Amgen | 12 | $214 |
| Smith+Nephew | 8 | $175 |
| Arthrex | 2 | $170 |
| Organogenesis Inc. | 4 | $164 |
| Biotissue Holdings Inc. | 1 | $161 |
| Novastep Inc. | 1 | $145 |
| Integra Lifesciences Corporation | 2 | $142 |
| In2bones USA, LLC | 1 | $140 |
| Orthogenrx Inc. | 7 | $133 |
| Acumed LLC | 1 | $132 |
| Osteomed LLC | 2 | $128 |
| Vertex | 1 | $122 |
| Ossdsign USA Incorporated | 1 | $109 |
| ERMI LLC | 3 | $97 |
| Radius Health, Inc. | 4 | $65 |
| Abbott | 1 | $62 |
| Avanos Medical | 2 | $46 |
| Melinta Therapeutics, LLC | 3 | $42 |
| Axogen | 1 | $36 |
| Celularity Inc. | 1 | $32 |
| Pacira Therapeutics, Inc. | 2 | $32 |
| Next Science LLC | 1 | $27 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Endo Pharmaceuticals Inc. | 1 | $18 |
| Ferring Pharmaceuticals Inc. | 1 | $17 |
| Hydrofera LLC | 1 | $15 |
| Medline Industries LP | 1 | $13 |
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.
- VANTAGE$2,646
- Trabecular Metal (TM) Ankle$719
- PROPHECY$477
- OsteoMed$264
- ACUMED$264
- Lapiplasty System$253
- TMC NANOPLASTY SYSTEM$162
- CLARIX$161
- PECA Bunion Correction System$145
- Reference Toe System$140
- TriWay TTC Nail$140
- CoLink$140
- IBS$140
- INFINITY ADAPTIS$138
- CARTIVA$135
- PRIMATRIX$130
- TCC-EZ$130
- AMNIOEXCEL$130
- DISTAL EXTREMITIES IMPLANTS FOREFOOT PLATES & SCREWS PLANTAR PLATE$124
- JOURNAVX$122
How this compares
$11,215 in reported general payments places this provider in the 85th percentile of 239 foot and ankle surgery providers in Georgia.
Other foot and ankle surgery in Atlanta
- Jason BariteauAtlanta$199K
- Rishin KadakiaAtlanta$53K
- Bhavin MehtaAtlanta$43K
- Gabriel SantamarinaAtlanta$14K
- Kurtis BertramAtlanta$14K
- Grahm BahnsonAtlanta$10K
- Spencer KeaneAtlanta$8K
- Robert WeinsteinFayetteville$394K
- Scott RomanPeachtree City$118K
- Jeffrey FlashForest Park$114K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.