Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

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 . 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 paymentAmountRecords
Food and Beverage $1,327.48 38
Travel and Lodging $646.79 3

By paying entity

PY2019 · entire year · sorted by reported total

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

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 (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 entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Stryker Corporation $27.9312/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667615 CMS
Stryker Corporation $34.8412/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667617 CMS
Stryker Corporation $26.9312/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667619 CMS
Stryker Corporation $18.5212/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667621 CMS
Stryker Corporation $35.6212/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667623 CMS
Stryker Corporation $114.1712/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667607 CMS
Stryker Corporation $12.7412/12/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667609 CMS
Stryker Corporation $134.0012/12/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667611 CMS
Stryker Corporation $287.7912/12/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667613 CMS
Spine Wave, Inc. $29.5212/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305651 CMS
DePuy Synthes Sales Inc. $43.1311/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026648665811 CMS
Spine Wave, Inc. $11.8511/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305649 CMS
Stryker Corporation $17.2010/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667605 CMS
Stryker Corporation $154.9409/17/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667603 CMS
Spine Wave, Inc. $20.9409/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305637 CMS
Stryker Corporation $5.6708/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667599 CMS
Stryker Corporation $27.3208/26/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667601 CMS
Stryker Corporation $4.4008/02/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667597 CMS
Stryker Corporation $6.5507/11/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667595 CMS
Stryker Corporation $35.2206/27/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667593 CMS
Stryker Corporation $39.9106/14/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667591 CMS
Stryker Corporation $5.7006/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667587 CMS
Stryker Corporation $4.1006/13/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667589 CMS
Stryker Corporation $225.0006/07/2019 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667579 CMS
Stryker Corporation $34.7006/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667581 CMS
Stryker Corporation $150.0006/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667583 CMS
Stryker Corporation $22.2806/07/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667585 CMS
Spine Wave, Inc. $37.6106/05/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305647 CMS
Stryker Corporation $37.0205/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667577 CMS
DePuy Synthes Sales Inc. $18.9605/22/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026648665809 CMS
Spine Wave, Inc. $21.9005/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305645 CMS
Spine Wave, Inc. $36.5205/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305643 CMS
Stryker Corporation $41.5805/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667575 CMS
Stryker Corporation $3.9304/29/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667573 CMS
Spine Wave, Inc. $28.4804/19/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305635 CMS
Stryker Corporation $24.9404/18/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667571 CMS
Stryker Corporation $19.8104/15/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667569 CMS
Spine Wave, Inc. $102.4704/08/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305641 CMS
Stryker Corporation $32.0403/21/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026692667567 CMS
Spine Wave, Inc. $24.1603/20/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026701305639 CMS
Shionogi Inc $13.8802/04/2019 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026688807401 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
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
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.

Cite this record.

Plain
ALEXANDER JAMES GAMBLE, NPI 1518266410. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1518266410.
APA 7
IndustryPayments. (2026). ALEXANDER JAMES GAMBLE, NPI 1518266410 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1518266410
Bluebook
ALEXANDER JAMES GAMBLE, NPI 1518266410, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1518266410.

Source: Centers for Medicare & Medicaid Services, Open Payments.