Covered recipient · General Payments record

ALEXANDER JAMES GAMBLE

Allopathic & Osteopathic Physicians Neurological Surgery

NPI: 1518266410
CMS profile: 1393475
Location: BEDFORD, NH

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2019 · Entire year

$1,974.27

41 records · 0 disputed

Summary and payment records

CMS publication 2026-06-30

Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”
— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated

This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. 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.
Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated July 26, 2026. CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2019 · entire year · sorted by reported total

Nature of payment	Amount	Records
Food and Beverage	$1,327.48	38
Travel and Lodging	$646.79	3

By paying entity

PY2019 · entire year · sorted by reported total

Paying entity	Amount	Records
Stryker Corporation	$1,584.85	29
Spine Wave, Inc.	$313.45	9
DePuy Synthes Sales Inc.	$62.09	2
Shionogi Inc	$13.88	1

Page 1 of 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. Use the CSV download for all matching records.

IndustryPayments · General Payments

ALEXANDER JAMES GAMBLE

NPI 1518266410 · CMS profile ID 1393475

Allopathic & Osteopathic Physicians / Neurological Surgery

BEDFORD, NH

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types

Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00

Page 1 of 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export.

Filtered page: https://industrypayments.org/provider/npi-1518266410?year=2019&recipient=provider#records-h

CMS source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e

Cite these filtered records

The citation includes this program year, filters, data edition, and page of results.

Plain: ALEXANDER JAMES GAMBLE, NPI 1518266410, CMS profile ID 1393475. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. IndustryPayments. https://industrypayments.org/provider/npi-1518266410?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
APA 7: IndustryPayments. (2026). ALEXANDER JAMES GAMBLE, NPI 1518266410, CMS profile ID 1393475. General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types. Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00. Page 1 of 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. [Filtered data set page]. https://industrypayments.org/provider/npi-1518266410?year=2019&recipient=provider#records-h. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e.
Bluebook: ALEXANDER JAMES GAMBLE, NPI 1518266410, CMS profile ID 1393475, IndustryPayments, General Payments, PY2019; Recipient scope: Physicians and non-physician practitioners; Reporting company: All reporting companies; Nature of payment: All payment types (Data edition: cms-20260630-workflow-20261105-v2; CMS publication: 2026-06-30; records imported: 2026-11-05T09:06:52.159882+00:00). Page 1 of 1; records 1–41 of 41 matching records. This page contains 41 records (maximum 50), not the full filtered export. Source: https://openpaymentsdata.cms.gov/dataset/4e54dd6c-30f8-4f86-86a7-3c109a89528e. https://industrypayments.org/provider/npi-1518266410?year=2019&recipient=provider#records-h.

Centers for Medicare & Medicaid Services, Open Payments

Citation formats are provided for reference; check the requirements of your publication.

General Payments only. Research Payments and Ownership/Investment Interests are separate datasets and are not included.

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

Centers for Medicare & Medicaid Services, Open Payments

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state.

IndustryPayments.org is not a consumer reporting agency as defined by the Fair Credit Reporting Act. Do not use this site to determine any person's eligibility for employment, credentialing, insurance, credit, housing, or any other purpose covered by the FCRA.

Methodology: https://industrypayments.org/methodology

Payment records · PY2019

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2019 · Physicians and non-physician practitioners · CMS publication 2026-06-30

41 matching records · $1,974.27 reported total · 0 disputed

Nature of payment: All payment types

Records imported here November 5, 2026 (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 41 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–41 of 41.

Paying entity	Amount	Date	Nature of payment	Dispute status	Publication flags	Published	Record ID	Source
Stryker Corporation	$27.93	12/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667615	CMS
Stryker Corporation	$34.84	12/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667617	CMS
Stryker Corporation	$26.93	12/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667619	CMS
Stryker Corporation	$18.52	12/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667621	CMS
Stryker Corporation	$35.62	12/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667623	CMS
Stryker Corporation	$114.17	12/12/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667607	CMS
Stryker Corporation	$12.74	12/12/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667609	CMS
Stryker Corporation	$134.00	12/12/2019	Travel and Lodging	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667611	CMS
Stryker Corporation	$287.79	12/12/2019	Travel and Lodging	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667613	CMS
Spine Wave, Inc.	$29.52	12/05/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305651	CMS
DePuy Synthes Sales Inc.	$43.13	11/21/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	648665811	CMS
Spine Wave, Inc.	$11.85	11/21/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305649	CMS
Stryker Corporation	$17.20	10/22/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667605	CMS
Stryker Corporation	$154.94	09/17/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667603	CMS
Spine Wave, Inc.	$20.94	09/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305637	CMS
Stryker Corporation	$5.67	08/26/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667599	CMS
Stryker Corporation	$27.32	08/26/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667601	CMS
Stryker Corporation	$4.40	08/02/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667597	CMS
Stryker Corporation	$6.55	07/11/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667595	CMS
Stryker Corporation	$35.22	06/27/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667593	CMS
Stryker Corporation	$39.91	06/14/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667591	CMS
Stryker Corporation	$5.70	06/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667587	CMS
Stryker Corporation	$4.10	06/13/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667589	CMS
Stryker Corporation	$225.00	06/07/2019	Travel and Lodging	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667579	CMS
Stryker Corporation	$34.70	06/07/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667581	CMS
Stryker Corporation	$150.00	06/07/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667583	CMS
Stryker Corporation	$22.28	06/07/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667585	CMS
Spine Wave, Inc.	$37.61	06/05/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305647	CMS
Stryker Corporation	$37.02	05/29/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667577	CMS
DePuy Synthes Sales Inc.	$18.96	05/22/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	648665809	CMS
Spine Wave, Inc.	$21.90	05/15/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305645	CMS
Spine Wave, Inc.	$36.52	05/08/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305643	CMS
Stryker Corporation	$41.58	05/08/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667575	CMS
Stryker Corporation	$3.93	04/29/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667573	CMS
Spine Wave, Inc.	$28.48	04/19/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305635	CMS
Stryker Corporation	$24.94	04/18/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667571	CMS
Stryker Corporation	$19.81	04/15/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667569	CMS
Spine Wave, Inc.	$102.47	04/08/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305641	CMS
Stryker Corporation	$32.04	03/21/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	692667567	CMS
Spine Wave, Inc.	$24.16	03/20/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	701305639	CMS
Shionogi Inc	$13.88	02/04/2019	Food and Beverage	No dispute reported	Delay: No Change: UNCHANGED	06/30/2026	688807401	CMS

By program year

All program years on this page · sorted by year

Program year	Amount	Records
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
PY2025	$2,903.33	51

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-06-30
Program years on this page: 2019, 2020, 2021, 2022, 2023, 2024, 2025

Source files and profile matching

Source files: Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from: OP_DTL_GNRL_PGYR2025_P06302026_06032026.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.