Covered recipient · General Payments record
PAUL V SPIEGL
Allopathic & Osteopathic Physicians Orthopaedic Surgery Foot and Ankle Surgery
General Payments · PY2018–2023
$11,565.89
- Reported across 123 records
- CMS publication 2026-01-23
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
PY2023 · sorted by reported total
| Nature of payment | Amount | Records |
|---|---|---|
| Travel and Lodging | $966.38 | 2 |
| Food and Beverage | $688.85 | 8 |
By paying entity
PY2023 · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| EXACTECH, INC. | $1,555.28 | 4 |
| Smith & Nephew, Inc. | $31.47 | 2 |
| Horizon Pharma plc | $30.45 | 2 |
| Avanos Medical | $23.21 | 1 |
| Hydrofera LLC | $14.82 | 1 |
By program year
All program years on this page · sorted by year
Payment records · PY2023 (10)
Sorted by paying entity, then date · as published by CMS
| Paying entity | Amount | Date | Nature of payment | Dispute status | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|
| Avanos Medical | $23.21 | 06/08/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1057693759 | CMS |
| EXACTECH, INC. | $483.86 | 08/18/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1053734627 | CMS |
| EXACTECH, INC. | $593.04 | 08/18/2023 | Travel and Lodging | Undisputed | 01/23/2026 | 1053734629 | CMS |
| EXACTECH, INC. | $373.34 | 08/18/2023 | Travel and Lodging | Undisputed | 01/23/2026 | 1053734633 | CMS |
| EXACTECH, INC. | $105.04 | 11/08/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1053730875 | CMS |
| Horizon Therapeutics plc | $16.52 | 01/20/2023 | Food and Beverage | Undisputed | 01/23/2026 | 987078623 | CMS |
| Horizon Therapeutics plc | $13.93 | 10/13/2023 | Food and Beverage | Undisputed | 01/23/2026 | 987078625 | CMS |
| Hydrofera LLC | $14.82 | 05/16/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1059980557 | CMS |
| Smith+Nephew, Inc. | $16.72 | 02/22/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1053105605 | CMS |
| Smith+Nephew, Inc. | $14.75 | 05/30/2023 | Food and Beverage | Undisputed | 01/23/2026 | 1053105603 | 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
- Generated from
- OP_DTL_GNRL_PGYR2023_P01232026_01102026.csv
One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.
Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.