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

BRADLEY SCOTT SPENCE

Allopathic & Osteopathic Physicians Orthopaedic Surgery

NPI
1437642360
CMS profile
4671189
Location
COLUMBIA, MO

General Payments · PY2019–2024

$8,734.32

  • Reported across 59 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$5,948.14

40 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
Travel and Lodging $4,404.92 16
Food and Beverage $1,543.22 24

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Alphatec Spine, Inc $1,516.01 12
Synthes GmbH $1,317.03 2
Titan Surgical Group, LLC $1,243.01 6
Globus Medical, Inc. $520.36 3
Medtronic, Inc. $434.01 7
Arthrex, Inc. $365.90 5
SI-BONE, INC. $325.36 2
Zavation LLC $190.26 1
Orthofix Medical, Inc. $19.62 1
Radius Health, Inc. $16.58 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $176.57 2
PY2020 $187.64 2
PY2021 $1,507.01 4
PY2022 $287.50 4
PY2023 $627.46 7
PY2024 $5,948.14 40

Payment records · PY2024 (40)

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

Program year 2024 20192020202120222023 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 $25.00 04/16/2024 Travel and Lodging Undisputed 01/23/2026 1095497132 CMS
Alphatec Spine, Inc $25.00 04/17/2024 Travel and Lodging Undisputed 01/23/2026 1095497134 CMS
Alphatec Spine, Inc $456.98 04/17/2024 Travel and Lodging Undisputed 01/23/2026 1095497136 CMS
Alphatec Spine, Inc $25.00 04/26/2024 Travel and Lodging Undisputed 01/23/2026 1095497138 CMS
Alphatec Spine, Inc $117.17 04/26/2024 Travel and Lodging Undisputed 01/23/2026 1095497140 CMS
Alphatec Spine, Inc $23.33 07/02/2024 Food and Beverage Undisputed 01/23/2026 1095497262 CMS
Alphatec Spine, Inc $123.00 07/02/2024 Food and Beverage Undisputed 01/23/2026 1095497264 CMS
Alphatec Spine, Inc $62.53 07/02/2024 Food and Beverage Undisputed 01/23/2026 1095497266 CMS
Alphatec Spine, Inc $36.81 07/02/2024 Food and Beverage Undisputed 01/23/2026 1095497272 CMS
Alphatec Spine, Inc $53.05 07/02/2024 Food and Beverage Undisputed 01/23/2026 1095497274 CMS
Alphatec Spine, Inc $538.00 07/11/2024 Travel and Lodging Undisputed 01/23/2026 1095497124 CMS
Alphatec Spine, Inc $30.14 12/09/2024 Food and Beverage Undisputed 01/23/2026 1095497300 CMS
Arthrex, Inc. $160.95 07/18/2024 Travel and Lodging Undisputed 01/23/2026 1146566234 CMS
Arthrex, Inc. $24.00 07/19/2024 Food and Beverage Undisputed 01/23/2026 1146566228 CMS
Arthrex, Inc. $10.00 07/19/2024 Food and Beverage Undisputed 01/23/2026 1146566230 CMS
Arthrex, Inc. $10.00 07/19/2024 Food and Beverage Undisputed 01/23/2026 1146566232 CMS
Arthrex, Inc. $160.95 07/19/2024 Travel and Lodging Undisputed 01/23/2026 1146566236 CMS
Globus Medical, Inc. $156.00 07/26/2024 Travel and Lodging Undisputed 01/23/2026 1145032614 CMS
Globus Medical, Inc. $187.70 07/26/2024 Travel and Lodging Undisputed 01/23/2026 1145032630 CMS
Globus Medical, Inc. $176.66 07/27/2024 Travel and Lodging Undisputed 01/23/2026 1145032600 CMS
Medtronic, Inc. $181.13 05/08/2024 Food and Beverage Undisputed 01/23/2026 1112066460 CMS
Medtronic, Inc. $23.04 09/03/2024 Food and Beverage Undisputed 01/23/2026 1112066632 CMS
Medtronic, Inc. $49.45 11/21/2024 Food and Beverage Undisputed 01/23/2026 1119319892 CMS
Medtronic, Inc. $49.45 11/21/2024 Food and Beverage Undisputed 01/23/2026 1119319894 CMS
Medtronic, Inc. $66.34 11/21/2024 Food and Beverage Undisputed 01/23/2026 1119319896 CMS
Medtronic, Inc. $38.60 11/22/2024 Food and Beverage Undisputed 01/23/2026 1119319898 CMS
Medtronic, Inc. $26.00 12/10/2024 Food and Beverage Undisputed 01/23/2026 1112070934 CMS
Orthofix Medical, Inc. $19.62 10/10/2024 Food and Beverage Undisputed 01/23/2026 1127603306 CMS
Radius Health, Inc. $16.58 09/19/2024 Food and Beverage Undisputed 01/23/2026 1089939123 CMS
SI-BONE, INC. $165.73 04/27/2024 Food and Beverage Undisputed 01/23/2026 1120065645 CMS
SI-BONE, INC. $159.63 06/12/2024 Food and Beverage Undisputed 01/23/2026 1120067604 CMS
Synthes GmbH $622.53 04/14/2024 Travel and Lodging Undisputed 01/23/2026 1077579130 CMS
Synthes GmbH $694.50 04/14/2024 Travel and Lodging Undisputed 01/23/2026 1077579166 CMS
Titan Surgical Group, Llc $389.33 06/26/2024 Travel and Lodging Undisputed 01/23/2026 1110851418 CMS
Titan Surgical Group, Llc $36.50 07/19/2024 Food and Beverage Undisputed 01/23/2026 1110851420 CMS
Titan Surgical Group, Llc $143.25 07/19/2024 Food and Beverage Undisputed 01/23/2026 1110851422 CMS
Titan Surgical Group, Llc $508.20 07/20/2024 Travel and Lodging Undisputed 01/23/2026 1110851424 CMS
Titan Surgical Group, Llc $160.95 07/20/2024 Travel and Lodging Undisputed 01/23/2026 1110851426 CMS
Titan Surgical Group, Llc $4.78 10/23/2024 Food and Beverage Undisputed 01/23/2026 1110851428 CMS
Zavation Medical Products, LLC $190.26 04/26/2024 Food and Beverage Undisputed 01/23/2026 1140978125 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
2019, 2020, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024
Generated from
OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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