Steven Anagnost, MD
Orthopaedic Surgery of the Spine · Tulsa, OKNPI 1407817885
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $333,663 of the $521,681 with a category attached, or 64.0%. Aurora Spine, Inc. accounts for 74.2% of it on its own, with 24 other manufacturers making up the rest. Among orthopaedic surgery of the spine clinicians in OK 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 140 payments — averaging $3726.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Aurora Spine, Inc.$387K
- Spinefrontier, Inc.$108K
- Centinel Spine, LLC$12K
- VGI Medical, LLC$5K
- Solco Biomedical Corporation$3K
- Foundation Fusion Solutions, LLC$3K
- plus $5K from 19 others
What the payments were for
- Royalty or licence$171,02233%
- Consulting fees$333,66364%
- Travel & lodging$10,4062%
- Food & beverage$4,2671%
- Entertainment$2,3240%
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 |
|---|---|---|
| Aurora Spine, Inc. | 50 | $387,232 |
| Spinefrontier, Inc. | 15 | $107,519 |
| Centinel Spine, LLC | 11 | $11,714 |
| VGI Medical, LLC | 22 | $5,190 |
| Solco Biomedical Corporation | 2 | $3,000 |
| Foundation Fusion Solutions, LLC | 1 | $2,500 |
| Surgalign Spine Technologies, Inc. | 2 | $1,489 |
| Alphatec Spine, Inc | 8 | $1,283 |
| Providence Medical Technology, Inc. | 5 | $546 |
| Spineology Inc. | 2 | $261 |
| Si-bone, Inc. | 2 | $184 |
| Wenzel Spine, Inc. | 1 | $161 |
| Globus Medical | 1 | $129 |
| Medtronic(2 entities) | 4 | $69 |
| Medicrea USA, Corp. | 1 | $58 |
| Trice Medical, Inc. | 1 | $57 |
| Collegium Pharmaceutical, Inc. | 3 | $53 |
| Evolution Spine, LLC | 1 | $50 |
| Nalu Medical, Inc. | 2 | $40 |
| Stryker | 1 | $38 |
| Organogenesis Inc. | 1 | $29 |
| Pacira Pharmaceuticals Incorporated | 1 | $25 |
| Bioventus LLC | 1 | $21 |
| Amgen | 1 | $20 |
| Lilly USA, LLC | 1 | $11 |
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.
- ZIP$362,323
- MISQUITO$107,426
- FacetFuse$107,426
- SLIFT$91,144
- Invue$91,144
- SILO$24,910
- InSpan$16,282
- NanoFuse Putty$15,452
- STALIF L$7,879
- SiJoin$3,802
- STALIF L FLX$3,369
- 4CIS PEEK PLIF CAGE SYSTEM$2,000
- 4CIS MARLIN ACIF CAGE SYSTEM$2,000
- Simmetry$1,411
- CerLoc, VerteLoc, VerteLP, SiJoin$682
- Other - Miscellaneous$580
- PRODISC C$451
- SiJoin, VerteLoc$262
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$261
- Varilift$161
How this compares
$521,681 in reported general payments places this provider in the 95th percentile of 21 orthopaedic surgery of the spine providers in Oklahoma.
See all orthopaedic surgery of the spine providers in Oklahoma →
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 154 | $2,020 |
| Cephalexin | 98 | $1,147 |
| Methylprednisolone | 96 | $770 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 41 | $549 |
| Gabapentin | 47 | $480 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 25 | $300 |
| Levofloxacin | 19 | $276 |
| Oxycodone Hcl | 62 | $233 |
| Cefadroxil | 12 | $144 |
| Ciprofloxacin Hcl | 14 | $144 |
| Tramadol Hcl | 17 | $70 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Tulsa
- Kris ParchuriTulsa$178K
- Jason SparksTulsa$9K
- Casey SmithTulsa$5K
- Preston PhillipsTulsa$2K
- Zeeshaan KhanTulsa$1K
- William ClarkTulsa$990
- Richard ThomasTulsa$564
- Winston FongOklahoma City$758K
- Cheng-Lun SooOklahoma City$327K
- Brett BralyOklahoma City$279K
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.