Robert Eastlack, MD
Orthopaedic Surgery · la Jolla, CANPI 1861471369
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $2,571,377 of the $3,884,522 with a category attached, or 66.2%. 40 manufacturers reported payments, led by Globus Medical at 45.0% of the total. 2025 is the largest year on record at $1,223,337, 4.9 times the $247,171 reported in 2019. Among orthopaedic surgery clinicians in CA 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 1,130 payments — averaging $3437.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$1.7M
- Si-bone, Inc.$1.1M
- Orthofix Medical, Inc.$426K
- Aesculap Implant Systems, LLC$151K
- Seaspine Orthopedics Corporation$145K
- Medtronic$84K
- plus $238K from 34 others
Across 12 payments — averaging $9147.63 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$50K
- Spinal Elements, Inc.$44K
- Si-bone, Inc.$16K
Across 4 payments — averaging $25,000 each. An ownership or investment interest held by the physician or an immediate family member.
- Osteocentric Technologies, Inc.$100K
- Globus Medical$0
What the payments were for
- Royalty or licence$2,571,37766%
- Consulting fees$1,072,20628%
- Speaking & faculty fees$159,0024%
- Travel & lodging$53,6401%
- Food & beverage$27,7271%
- Education$1180%
- Gifts$780%
- Entertainment$3730%
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.
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.
- Modulus$1,162,830
- IFUSE IMPLANT SYSTEM$921,908
- CoRoent$355,275
- XLIF$345,193
- NorthStar$283,807
- ALIF$207,782
- iFuse Implant$160,580
- Physio-Stim$156,215
- ENNOVATE$100,442
- ENNOVATE SPINAL SYSTEM$50,156
- Neo Pedicle Screw System$40,886
- Pulse$35,725
- MagnetOs$34,088
- EVEREST XT$33,875
- Plymouth$30,343
- EVEREST MI$22,875
- LATERAL ACCESS SPINAL SYSTEM$22,625
- ALEUTIAN TLIF MI$21,500
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$20,531
- CD HORIZON SPINAL SYSTEM$19,901
How this compares
$3,884,522 in reported general payments places this provider in the 95th percentile of 1,808 orthopaedic surgery providers in California.
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 | 83 | $986 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 77 | $794 |
| Oxycodone Hcl | 54 | $489 |
| Cyclobenzaprine Hcl | 52 | $459 |
| Celecoxib | 32 | $387 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 29 | $366 |
| Methylprednisolone | 69 | $316 |
| Mupirocin | 37 | $246 |
| Tizanidine Hcl | 25 | $84 |
| Hydromorphone Hcl | 12 | $62 |
| Tramadol Hcl | 16 | $54 |
| Diazepam | 13 | $50 |
| Alprazolam | 15 | $10 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in la Jolla
- Behrooz Akbarniala Jolla$2.6M
- James Bruffeyla Jolla$1.1M
- Bradford HackArcadia$18.3M
- Robert GorabOrange$13.6M
- Kelly VinceLos Angeles$9.6M
- Stephen HowellSacramento$9.4M
- Thomas CoonRed Bluff$9.2M
- Nirav AminPlacentia$5.6M
- Tom NorrisSan Francisco$5.3M
- Jay LiebermanLos Angeles$4.8M
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.