Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-01-23 View official record Methodology

Covered recipient · General Payments record

CONSTANTINE A TOUMBIS

Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine

NPI
1386781409
CMS profile
198451
Location
CRYSTAL RIVER, FL

General Payments · PY2018–2024

$1,728,777.86

  • Reported across 71 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$212,435.10

16 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of paymentAmountRecords
Royalty or License $212,359.54 13
Food and Beverage $75.56 3

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Hyhte Holdings Inc. $184,095.09 1
Alphatec Spine, Inc $28,264.45 12
Medtronic, Inc. $42.23 2
Stryker Corporation $33.33 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $291,840.90 4
PY2019 $336,259.11 10
PY2020 $279,062.99 5
PY2021 $233,185.54 5
PY2022 $196,453.36 13
PY2023 $179,540.86 18
PY2024 $212,435.10 16

Payment records · PY2024 (16)

Sorted by paying entity, then date · as published by CMS

Program year 2024 201820192020202120222023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
Alphatec Spine, Inc $7,018.84 02/27/2024 Royalty or License Undisputed 01/23/2026 1095486153 CMS
Alphatec Spine, Inc $1,474.75 02/27/2024 Royalty or License Undisputed 01/23/2026 1095486155 CMS
Alphatec Spine, Inc $535.96 02/27/2024 Royalty or License Undisputed 01/23/2026 1095486157 CMS
Alphatec Spine, Inc $4,585.90 05/21/2024 Royalty or License Undisputed 01/23/2026 1095486195 CMS
Alphatec Spine, Inc $1,139.88 05/21/2024 Royalty or License Undisputed 01/23/2026 1095486197 CMS
Alphatec Spine, Inc $900.36 05/21/2024 Royalty or License Undisputed 01/23/2026 1095486199 CMS
Alphatec Spine, Inc $6,038.68 08/28/2024 Royalty or License Undisputed 01/23/2026 1095486229 CMS
Alphatec Spine, Inc $931.14 08/28/2024 Royalty or License Undisputed 01/23/2026 1095486231 CMS
Alphatec Spine, Inc $451.79 08/28/2024 Royalty or License Undisputed 01/23/2026 1095486233 CMS
Alphatec Spine, Inc $3,960.38 11/20/2024 Royalty or License Undisputed 01/23/2026 1095486261 CMS
Alphatec Spine, Inc $1,006.26 11/20/2024 Royalty or License Undisputed 01/23/2026 1095486263 CMS
Alphatec Spine, Inc $220.51 11/20/2024 Royalty or License Undisputed 01/23/2026 1095486265 CMS
Hyhte Holdings Inc. $184,095.09 02/27/2024 Royalty or License Undisputed 01/23/2026 1147272561 CMS
Medtronic, Inc. $14.71 09/16/2024 Food and Beverage Undisputed 01/23/2026 1119296115 CMS
Medtronic, Inc. $27.52 10/30/2024 Food and Beverage Undisputed 01/23/2026 1119296117 CMS
Stryker Corporation $33.33 07/31/2024 Food and Beverage Undisputed 01/23/2026 1119999667 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-01-23
Program years on this page
2018, 2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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