Winston Jeshuran, MD
Orthopaedic Surgery of the Spine · Macon, GANPI 1710900162
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $120,495 of the $175,780 with a category attached, or 68.5%. Alphatec Spine, Inc accounts for 60.8% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $70,786 and has fallen 93.3% since, to $4,770 in 2025.
Across 109 payments — averaging $1612.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$107K
- Degen Medical, Inc.$65K
- Globus Medical$3K
- Nevro Corp.$132
- Boston Scientific$131
- Stryker$73
- plus $175 from 7 others
What the payments were for
- Royalty or licence$120,49569%
- Consulting fees$50,80429%
- Speaking & faculty fees$2,9002%
- Travel & lodging$410%
- Food & beverage$1,5401%
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 |
|---|---|---|
| Alphatec Spine, Inc | 18 | $106,832 |
| Degen Medical, Inc. | 69 | $65,308 |
| Globus Medical | 3 | $3,129 |
| Nevro Corp. | 6 | $132 |
| Boston Scientific | 3 | $131 |
| Stryker | 1 | $73 |
| Baxter Healthcare | 2 | $65 |
| Providence Medical Technology, Inc. | 2 | $31 |
| Si-bone, Inc. | 1 | $20 |
| Medtronic | 1 | $20 |
| Aesculap Implant Systems, LLC | 1 | $18 |
| Misonix Inc | 1 | $12 |
| Abbott | 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.
- BATTALION LLIF$57,359
- Cyclops$47,399
- BATALLION LATERAL$34,096
- Hyper-C$27,363
- F1 MPS$10,650
- E3$10,430
- PLIF$6,917
- XR$6,900
- Battalion PLIF - PS$5,652
- Battalion TLIF - PC$5,274
- IMPULSE$4,797
- Other - Miscellaneous$4,450
- ELSA$2,900
- Sable$147
How this compares
$175,780 in reported general payments places this provider in the 70th percentile of 57 orthopaedic surgery of the spine providers in Georgia.
See all orthopaedic surgery of the spine providers in Georgia →
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 94 | $1,531 |
| Tizanidine Hcl | 67 | $1,062 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 78 | $1,028 |
| Calcitonin-SalmonCalcitonin,salmon,synthetic | 11 | $549 |
| Cephalexin | 26 | $239 |
| Gabapentin | 25 | $194 |
| Indomethacin | 13 | $159 |
| Methylprednisolone | 14 | $72 |
| Meloxicam | 15 | $30 |
| Tramadol Hcl | 11 | $26 |
| Alprazolam | 47 | $25 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Macon
- William DasherMacon$2K
- John HellerAtlanta$4.2M
- Scott BodenAtlanta$1.5M
- Justin BundyAugusta$1.4M
- John RheeAtlanta$1.1M
- Tapan DaftariAustell$759K
- Brad PrybisStockbridge$659K
- Paul JeffordsAtlanta$651K
- Raphael RoybalSavannah$400K
- Hewatt SimsDouglas$376K
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.