Thomas Scioscia
Orthopaedic Surgery of the Spine · Richmond, VANPI 1235177684
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $264,192 of the $274,382 with a category attached, or 96.3%. Choice Spine, LLC accounts for 85.7% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $58,749 and has fallen 60.5% since, to $23,232 in 2025.
Across 48 payments — averaging $5716.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Choice Spine, LLC$235K
- Seaspine Orthopedics Corporation$34K
- CTL Medical Corporation$4K
- Republic Spine$495
- Spinal Elements, Inc.$306
- Medtronic$136
- plus $605 from 7 others
What the payments were for
- Royalty or licence$264,19296%
- Consulting fees$8,5003%
- Food & beverage$1,6901%
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 |
|---|---|---|
| Choice Spine, LLC | 9 | $235,024 |
| Seaspine Orthopedics Corporation | 14 | $33,815 |
| CTL Medical Corporation | 5 | $4,000 |
| Republic Spine | 4 | $495 |
| Spinal Elements, Inc. | 3 | $306 |
| Medtronic | 4 | $136 |
| Zimmer Biomet | 1 | $122 |
| Orthofix Medical, Inc. | 1 | $119 |
| Centinel Spine, LLC | 2 | $117 |
| Boston Scientific | 2 | $88 |
| Cerapedics Inc. | 1 | $62 |
| Si-bone, Inc. | 1 | $61 |
| Stability Biologics, LLC | 1 | $35 |
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.
- Ambassador$230,511
- Hollywood NanoMetalene$13,105
- Hollywood VI NanoMetalene$10,584
- Hollywood$9,993
- Ascendant$4,500
- Medical Device$171
- Mobi-C$122
- Trinity ELITE$119
How this compares
$274,382 in reported general payments places this provider in the 80th percentile of 43 orthopaedic surgery of the spine providers in Virginia.
See all orthopaedic surgery of the spine providers in Virginia →
Other orthopaedic surgery of the spine in Richmond
- Jed VanichkachornRichmond$2.3M
- John SimpsonRichmond$880K
- Adam CrowlRichmond$63K
- Sean KellyRichmond$19K
- Lauren BarberRichmond$16K
- Christopher GoodReston$1.7M
- Colin HainesReston$700K
- Ehsan JaziniReston$502K
- Francis ShenCharlottesville$432K
- Jeffrey CarlsonNewport News$295K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.