Ralph Rashbaum
Orthopaedic Surgery of the Spine · Plano, TXNPI 1871520593
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $542,685 of the $616,125 with a category attached, or 88.1%. 12 manufacturers reported payments, led by Zimmer Biomet at 43.7% of the total. Reporting peaked in 2020 at $133,855 and has fallen 59.7% since, to $53,903 in 2025. Among orthopaedic surgery of the spine clinicians in TX 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 71 payments — averaging $8677.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$269K
- Zimvie Inc.$161K
- Highridge Medical LLC$111K
- Orthofix Medical, Inc.$72K
- Surgalign Spine Technologies, Inc.$2K
- Cerapedics Inc.$358
- plus $1K from 6 others
Across 11 payments — averaging $6951.55 each. An ownership or investment interest held by the physician or an immediate family member.
- Spinal Simplicity, LLC$76K
- Stimwave Technologies Incorporated$0
What the payments were for
- Royalty or licence$542,68588%
- Consulting fees$72,07512%
- Food & beverage$1,3650%
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 |
|---|---|---|
| Zimmer Biomet | 9 | $269,188 |
| Zimvie Inc. | 8 | $160,706 |
| Highridge Medical LLC | 6 | $111,284 |
| Orthofix Medical, Inc. | 12 | $72,075 |
| Surgalign Spine Technologies, Inc. | 24 | $1,508 |
| Cerapedics Inc. | 2 | $358 |
| Painteq LLC | 3 | $217 |
| Stimwave Technologies Incorporated | 2 | $211 |
| Si-bone, Inc. | 2 | $189 |
| Stratus Medical, LLC | 1 | $143 |
| Medtronic | 1 | $124 |
| Globus Medical | 1 | $122 |
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.
- Mobi-C$366,443
- MOBI-C PLUG & FIT US$111,284
- Vital$38,119
- ROI-A$25,331
- SKYHAWK$18,750
- Unity$11,100
- FIREBIRD NXG$9,075
- PILLAR$3,150
- PILLAR PL;CONSTRUX - PEEK VBR$2,850
- Cervical-STIM$2,700
- i-FACTOR Putty$358
- NANOSS ABGS FAMILY$221
- PAINTEQ$179
- Nimbus$143
- INTELLIS$124
- LessRay$122
- StimQ Receiver Stimulator Kit Channel A US w Receiver$120
- StimQ Freedom 4A Receiver Kit Channel A US Receiver$120
- StimQ Freedom 8A Receiver Kit Channel A US w Receiver$120
- Freedom 4A Receiver Kit Channel A US w Receiver$120
How this compares
$616,125 in reported general payments places this provider in the 90th percentile of 207 orthopaedic surgery of the spine providers in Texas.
See all orthopaedic surgery of the spine providers in Texas →
Other orthopaedic surgery of the spine in Plano
- Michael ObrienPlano$1M
- Scott BlumenthalPlano$833K
- Richard GuyerPlano$758K
- Mark ValentePlano$411K
- Jessica ShellockPlano$264K
- Anthony OwusuPlano$149K
- Kendall CarllPlano$138K
- Alexander SatinPlano$83K
- Renato BositaPlano$51K
- Randall DryerAustin$2.9M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.