Zachary Grabel, MD
Orthopaedic Surgery of the Spine · West Palm Beach, FLNPI 1326433632
Payments from drug & device makers
Across 57 payments — averaging $262.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$9K
- Stryker$5K
- Zavation Medical Products, LLC$500
- Cerapedics Inc.$99
- Medtronic$93
- Integrity Implants Inc.$61
- plus $107 from 4 others
What the payments were for
- Consulting fees$5003%
- Travel & lodging$11,65878%
- Food & beverage$1,67111%
- Education$1,1358%
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 | 16 | $8,864 |
| Stryker | 32 | $5,240 |
| Zavation Medical Products, LLC | 1 | $500 |
| Cerapedics Inc. | 1 | $99 |
| Medtronic(2 entities) | 2 | $93 |
| Integrity Implants Inc. | 1 | $61 |
| Smith+Nephew | 1 | $40 |
| Pacira Pharmaceuticals Incorporated | 1 | $26 |
| Si-bone, Inc. | 1 | $21 |
| Globus Medical | 1 | $20 |
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.
How this compares
$14,963 in reported general payments places this provider in the 45th percentile of 159 orthopaedic surgery of the spine providers in Florida.
See all orthopaedic surgery of the spine providers in Florida →
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 | 115 | $1,276 |
| Pregabalin | 43 | $754 |
| Oxycodone Hcl | 94 | $563 |
| Cyclobenzaprine Hcl | 64 | $504 |
| Methylprednisolone | 64 | $452 |
| Celecoxib | 11 | $162 |
| Methocarbamol | 14 | $160 |
| Tizanidine Hcl | 14 | $140 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $72 |
| Meloxicam | 17 | $41 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in West Palm Beach
- David FeldmanWest Palm Beach$340K
- William KunkleWest Palm Beach$84K
- Harry ShufflebargerMiami$3.5M
- Paul KellerMelbourne$3.4M
- Thomas SweeneySarasota$2.3M
- Geoffrey CronenTampa$2.2M
- James BillysOdessa$1.9M
- Samuel JosephSafety Harbor$1.8M
- Mark DekutoskiDestin$1.8M
- Farhan SiddiqiOdessa$1.7M
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.