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

ALEXANDER JAMES GAMBLE

Allopathic & Osteopathic Physicians Neurological Surgery

NPI
1518266410
CMS profile
1393475
Location
BEDFORD, NH

General Payments · PY2018–2024

$21,329.49

  • Reported across 254 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$9,708.36

70 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 $6,254.54 13
Food and Beverage $3,433.82 56
Education $20.00 1

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
Alphatec Spine, Inc $6,284.21 27
Stryker Corporation $1,862.41 17
Medtronic, Inc. $402.65 6
DePuy Synthes Sales Inc. $316.69 6
LifeNet Health $255.61 3
Kuros Biosciences USA, Inc $141.51 1
ABBVIE INC. $132.33 5
PRECISION SPINE, INC. $124.11 1
OssDsign Incorporated $117.45 1
Abbott Laboratories $29.18 1
SI-BONE, INC. $22.21 1
CSL Behring $20.00 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $1,076.83 14
PY2019 $1,974.27 41
PY2020 $941.48 32
PY2021 $3,346.37 49
PY2022 $680.92 17
PY2023 $3,601.26 31
PY2024 $9,708.36 70

Payment records · PY2024 (70)

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
Abbott Laboratories $29.18 10/09/2024 Food and Beverage Undisputed 01/23/2026 1125104712 CMS
ABBVIE INC. $34.29 01/09/2024 Food and Beverage Undisputed 01/23/2026 1103768564 CMS
ABBVIE INC. $30.73 01/25/2024 Food and Beverage Undisputed 01/23/2026 1103768566 CMS
ABBVIE INC. $32.31 02/20/2024 Food and Beverage Undisputed 01/23/2026 1103768568 CMS
ABBVIE INC. $7.32 08/22/2024 Food and Beverage Undisputed 01/23/2026 1103768570 CMS
ABBVIE INC. $27.68 11/14/2024 Food and Beverage Undisputed 01/23/2026 1103768572 CMS
Alphatec Spine, Inc $35.17 03/21/2024 Food and Beverage Undisputed 01/23/2026 1095497174 CMS
Alphatec Spine, Inc $156.34 03/21/2024 Food and Beverage Undisputed 01/23/2026 1095497190 CMS
Alphatec Spine, Inc $52.79 04/02/2024 Food and Beverage Undisputed 01/23/2026 1095497184 CMS
Alphatec Spine, Inc $61.36 04/30/2024 Food and Beverage Undisputed 01/23/2026 1095497180 CMS
Alphatec Spine, Inc $25.00 05/22/2024 Travel and Lodging Undisputed 01/23/2026 1095497150 CMS
Alphatec Spine, Inc $1,017.81 05/22/2024 Travel and Lodging Undisputed 01/23/2026 1095497152 CMS
Alphatec Spine, Inc $1,832.40 05/22/2024 Travel and Lodging Undisputed 01/23/2026 1095497154 CMS
Alphatec Spine, Inc $25.00 05/22/2024 Travel and Lodging Undisputed 01/23/2026 1095497160 CMS
Alphatec Spine, Inc $131.33 06/14/2024 Food and Beverage Undisputed 01/23/2026 1095497176 CMS
Alphatec Spine, Inc $80.85 06/14/2024 Food and Beverage Undisputed 01/23/2026 1095497178 CMS
Alphatec Spine, Inc $33.64 06/14/2024 Food and Beverage Undisputed 01/23/2026 1095497182 CMS
Alphatec Spine, Inc $112.25 06/14/2024 Travel and Lodging Undisputed 01/23/2026 1095497186 CMS
Alphatec Spine, Inc $35.94 06/14/2024 Travel and Lodging Undisputed 01/23/2026 1095497188 CMS
Alphatec Spine, Inc $112.25 06/14/2024 Travel and Lodging Undisputed 01/23/2026 1095497220 CMS
Alphatec Spine, Inc $20.92 07/08/2024 Food and Beverage Undisputed 01/23/2026 1095497246 CMS
Alphatec Spine, Inc $13.08 07/08/2024 Food and Beverage Undisputed 01/23/2026 1095497250 CMS
Alphatec Spine, Inc $74.00 07/08/2024 Food and Beverage Undisputed 01/23/2026 1095497252 CMS
Alphatec Spine, Inc $920.00 07/11/2024 Travel and Lodging Undisputed 01/23/2026 1095497116 CMS
Alphatec Spine, Inc $153.22 07/25/2024 Food and Beverage Undisputed 01/23/2026 1095497260 CMS
Alphatec Spine, Inc $210.56 07/30/2024 Food and Beverage Undisputed 01/23/2026 1095497254 CMS
Alphatec Spine, Inc $950.90 08/01/2024 Travel and Lodging Undisputed 01/23/2026 1095497258 CMS
Alphatec Spine, Inc $26.85 09/03/2024 Food and Beverage Undisputed 01/23/2026 1095497244 CMS
Alphatec Spine, Inc $33.91 09/03/2024 Travel and Lodging Undisputed 01/23/2026 1095497248 CMS
Alphatec Spine, Inc $23.89 09/30/2024 Food and Beverage Undisputed 01/23/2026 1095497256 CMS
Alphatec Spine, Inc $102.62 10/23/2024 Food and Beverage Undisputed 01/23/2026 1095497292 CMS
Alphatec Spine, Inc $20.79 12/09/2024 Food and Beverage Undisputed 01/23/2026 1095497296 CMS
Alphatec Spine, Inc $21.34 12/19/2024 Food and Beverage Undisputed 01/23/2026 1095497294 CMS
CSL Behring $20.00 01/29/2024 Education Undisputed 01/23/2026 1134634219 CMS
DePuy Synthes Sales Inc. $12.13 02/08/2024 Food and Beverage Undisputed 01/23/2026 1077870398 CMS
DePuy Synthes Sales Inc. $52.32 02/28/2024 Food and Beverage Undisputed 01/23/2026 1077870406 CMS
DePuy Synthes Sales Inc. $65.05 03/08/2024 Food and Beverage Undisputed 01/23/2026 1077870413 CMS
DePuy Synthes Sales Inc. $93.99 06/18/2024 Food and Beverage Undisputed 01/23/2026 1077870402 CMS
DePuy Synthes Sales Inc. $29.49 07/18/2024 Food and Beverage Undisputed 01/23/2026 1077870417 CMS
DePuy Synthes Sales Inc. $63.71 08/20/2024 Food and Beverage Undisputed 01/23/2026 1077870387 CMS
Kuros Biosciences USA, Inc $141.51 07/30/2024 Food and Beverage Undisputed 01/23/2026 1139157429 CMS
LifeNet Health $39.86 01/24/2024 Food and Beverage Undisputed 01/23/2026 1153022298 CMS
LifeNet Health $121.76 05/01/2024 Food and Beverage Undisputed 01/23/2026 1153022300 CMS
LifeNet Health $93.99 06/18/2024 Food and Beverage Undisputed 01/23/2026 1153022302 CMS
Medtronic, Inc. $7.44 01/29/2024 Food and Beverage Undisputed 01/23/2026 1119355723 CMS
Medtronic, Inc. $149.49 07/17/2024 Food and Beverage Undisputed 01/23/2026 1119355725 CMS
Medtronic, Inc. $27.54 07/17/2024 Food and Beverage Undisputed 01/23/2026 1119355727 CMS
Medtronic, Inc. $57.58 09/27/2024 Food and Beverage Undisputed 01/23/2026 1119355729 CMS
Medtronic, Inc. $149.75 10/28/2024 Food and Beverage Undisputed 01/23/2026 1119355731 CMS
Medtronic, Inc. $10.85 11/25/2024 Food and Beverage Undisputed 01/23/2026 1119355733 CMS
OssDsign Incorporated $117.45 10/16/2024 Food and Beverage Undisputed 01/23/2026 1118401205 CMS
PRECISION SPINE, INC. $124.11 04/15/2024 Food and Beverage Undisputed 01/23/2026 1145411291 CMS
SI-BONE, INC. $22.21 01/30/2024 Food and Beverage Undisputed 01/23/2026 1120048971 CMS
Stryker Corporation $150.57 01/11/2024 Food and Beverage Undisputed 01/23/2026 1119833389 CMS
Stryker Corporation $57.75 01/19/2024 Food and Beverage Undisputed 01/23/2026 1144313117 CMS
Stryker Corporation $10.40 04/11/2024 Food and Beverage Undisputed 01/23/2026 1119833391 CMS
Stryker Corporation $44.36 05/07/2024 Food and Beverage Undisputed 01/23/2026 1119833393 CMS
Stryker Corporation $38.67 05/16/2024 Food and Beverage Undisputed 01/23/2026 1119833395 CMS
Stryker Corporation $15.80 05/23/2024 Food and Beverage Undisputed 01/23/2026 1119833397 CMS
Stryker Corporation $11.01 06/13/2024 Food and Beverage Undisputed 01/23/2026 1119833399 CMS
Stryker Corporation $19.28 06/26/2024 Food and Beverage Undisputed 01/23/2026 1119833401 CMS
Stryker Corporation $492.83 07/29/2024 Travel and Lodging Undisputed 01/23/2026 1119833403 CMS
Stryker Corporation $33.46 08/26/2024 Food and Beverage Undisputed 01/23/2026 1119833405 CMS
Stryker Corporation $171.67 08/27/2024 Food and Beverage Undisputed 01/23/2026 1119833407 CMS
Stryker Corporation $14.98 08/27/2024 Food and Beverage Undisputed 01/23/2026 1119833409 CMS
Stryker Corporation $23.47 08/27/2024 Food and Beverage Undisputed 01/23/2026 1119833411 CMS
Stryker Corporation $169.86 08/29/2024 Travel and Lodging Undisputed 01/23/2026 1119833413 CMS
Stryker Corporation $21.69 10/22/2024 Food and Beverage Undisputed 01/23/2026 1119833415 CMS
Stryker Corporation $526.39 12/11/2024 Travel and Lodging Undisputed 01/23/2026 1119833417 CMS
Stryker Corporation $60.22 12/24/2024 Food and Beverage Undisputed 01/23/2026 1119833419 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

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.