Spenser Cassinelli, MD
Foot and Ankle Surgery · Reno, NVNPI 1508208943
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.3%), education and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Arthrex at 36.4% of the total. Reporting peaked in 2019 at $5,311 and has fallen 76.0% since, to $1,277 in 2025.
Across 104 payments — averaging $108.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$4K
- Stryker$3K
- Sequoia Surgical, Inc.$665
- Exactech, Inc.$416
- Smith+Nephew$346
- Encore Medical, LP$263
- plus $2K from 20 others
What the payments were for
- Travel & lodging$1,75316%
- Food & beverage$5,79251%
- Education$3,74333%
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 |
|---|---|---|
| Arthrex | 16 | $4,108 |
| Stryker(2 entities) | 42 | $3,262 |
| Sequoia Surgical, Inc. | 3 | $665 |
| Exactech, Inc. | 5 | $416 |
| Smith+Nephew | 3 | $346 |
| Encore Medical, LP | 2 | $263 |
| Kerecis Limited | 2 | $212 |
| Vertex | 4 | $193 |
| Musculoskeletal Transplant Foundation Inc. | 3 | $182 |
| Alafair Biosciences, Inc. | 1 | $169 |
| KCI USA, Inc. | 3 | $152 |
| Avita Medical Americas, LLC | 1 | $140 |
| Treace Medical Concepts, Inc. | 1 | $137 |
| Davol Inc. | 2 | $135 |
| Amniox Medical, Inc. | 1 | $133 |
| Paragon 28, Inc. | 1 | $127 |
| Extremity Medical | 1 | $120 |
| Linvatec Corporation | 1 | $98 |
| Bioventus LLC | 4 | $92 |
| Mimedx Group, Inc. | 1 | $89 |
| Acell, Inc. | 1 | $67 |
| Evolution Surgical, Inc | 2 | $67 |
| Biotissue Holdings Inc. | 1 | $59 |
| Polynovo North America LLC | 1 | $23 |
| Solventum Corporation | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $16 |
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.
- PROstep$910
- Kerecis SurgiClose$408
- Kerecis Omega3 SurgiClose$331
- VANTAGE$312
- ANCHORAGE$271
- PROSTEP MICA$254
- ACCULIF$247
- T-Fix$170
- Journey II BCS$170
- PICO 7 Single Use Negative Pressure Wound Therapy$170
- REDAPT Revision Hip System$170
- HOFFMANN$169
- EASYFUSE$169
- VersaWrap$169
- MAKO$150
- FIXOS$150
- VARIAX$150
- EASY CLIP$150
- PERMEADERM$140
- RECELL$140
How this compares
$11,288 in reported general payments places this provider in the 80th percentile of 84 foot and ankle surgery providers in Nevada.
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 | 219 | $1,600 |
| Meloxicam | 246 | $723 |
| Oxycodone Hcl | 137 | $628 |
| Ibuprofen | 124 | $460 |
| Doxycycline Hyclate | 51 | $369 |
| Hydroxyzine Pamoate | 115 | $330 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 20 | $266 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Reno
- Gregory LundeenReno$301K
- Michael AraminiReno$60K
- Scott WhitlowReno$28K
- Austin HallReno$17K
- Franklin NebekerReno$5K
- David EllisReno$3K
- Michael KresslerReno$2K
- Jeffrey TucciReno$1K
- Troy WatsonLas Vegas$1.2M
- Roman SibelHenderson$309K
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.