Raymond Gardocki, MD
Orthopaedic Surgery of the Spine · Nashville, TNNPI 1235125931
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (39.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Arthrex at 46.0% of the total. Among orthopaedic surgery of the spine clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 547 payments — averaging $1217.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$306K
- Joimax, Inc.$166K
- Integrity Implants Inc. Dba Accelus$91K
- Integrity Implants Inc.$90K
- Medtronic$7K
- Medical Device Business Services, Inc.$1K
- plus $5K from 22 others
What the payments were for
- Royalty or licence$53,9648%
- Consulting fees$265,36840%
- Speaking & faculty fees$203,68131%
- Travel & lodging$128,94019%
- Food & beverage$12,9462%
- Entertainment$8070%
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 |
|---|---|---|
| Arthrex | 261 | $306,268 |
| Joimax, Inc. | 20 | $165,677 |
| Integrity Implants Inc. Dba Accelus | 77 | $90,709 |
| Integrity Implants Inc. | 142 | $90,033 |
| Medtronic(2 entities) | 11 | $7,459 |
| Medical Device Business Services, Inc. | 1 | $1,040 |
| Providence Medical Technology, Inc. | 2 | $1,019 |
| Globus Medical(2 entities) | 3 | $955 |
| Spineology Inc. | 5 | $342 |
| Theragen, Inc. | 1 | $243 |
| Spineart USA Inc | 3 | $203 |
| Viseon, Inc. | 1 | $195 |
| Implanet America, Inc. | 1 | $181 |
| Stryker | 1 | $172 |
| Music City Medical Technologies, LLC | 3 | $171 |
| Si-bone, Inc. | 1 | $148 |
| Augmedics Inc. | 1 | $136 |
| Pacira Pharmaceuticals Incorporated | 1 | $127 |
| Kuros Biosciences USA, Inc | 1 | $117 |
| Impactortho, Inc. | 1 | $111 |
| Alpha Orthopedic Systems | 3 | $90 |
| Prime Surgical, LLC | 1 | $84 |
| Novus Surgical Consultants | 1 | $71 |
| CTL Medical Corporation | 1 | $50 |
| Sivantage, Inc. | 1 | $47 |
| Richard Wolf Medical Instruments Corp. | 1 | $25 |
| MF MED | 1 | $15 |
| ALON Medical Technology | 1 | $15 |
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.
- FlareHawk$135,076
- FlareHawk 7 ENDO$18,312
- ZEVO$4,050
- FlareHawk 7 PERC/MIS$2,000
- Goliath$2,000
- SOVEREIGN$1,485
- LIFENET VERTIGRAFT$1,040
- ViviGen$1,040
- Xvision$680
- ARTHREX$439
- PIVOX Oblique Lateral Spinal System$259
- ActaStim-S$243
- MaxView System$195
- TRITANIUM$172
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$144
- OTHER OTHER OTHER OTHER$142
- EXPAREL$127
- CREO MIS Stabilization System$110
- Sable$110
- ExcelsiusGPS Robotic Navigation System$110
How this compares
$665,705 in reported general payments places this provider in the 95th percentile of 51 orthopaedic surgery of the spine providers in Tennessee.
See all orthopaedic surgery of the spine providers in Tennessee →
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 |
|---|---|---|
| Gabapentin | 45 | $255 |
| Cyclobenzaprine Hcl | 30 | $218 |
| Methylprednisolone | 24 | $149 |
| Oxycodone Hcl | 19 | $101 |
| Naproxen | 14 | $76 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Nashville
- Lawrence BabatNashville$928K
- Colin CrosbyNashville$134K
- Morgan LorioNashville$56K
- Ryan SnowdenNashville$29K
- Byron StephensNashville$20K
- Daniel KiridlyNashville$14K
- Christopher KauffmanNashville$12K
- Amir AbtahiNashville$8K
- Melvin LawNashville$6K
- Elliott KimNashville$5K
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.