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 · PY2024 · Entire year

$9,708.36

70 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

PY2024 · entire year · 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 · entire year · 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

Payment records · PY2024

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

General Payments · PY2024 · Physicians and non-physician practitioners · CMS publication 2026-06-30

70 matching records · $9,708.36 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 70 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 1–50 of 70.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
Stryker Corporation $60.2212/24/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833419 CMS
Alphatec Spine, Inc $21.3412/19/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497294 CMS
Stryker Corporation $526.3912/11/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833417 CMS
Alphatec Spine, Inc $20.7912/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497296 CMS
Medtronic, Inc. $10.8511/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119355733 CMS
ABBVIE INC. $27.6811/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261103768572 CMS
Medtronic, Inc. $149.7510/28/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119355731 CMS
Alphatec Spine, Inc $102.6210/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497292 CMS
Stryker Corporation $21.6910/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833415 CMS
OssDsign Incorporated $117.4510/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261118401205 CMS
Abbott Laboratories $29.1810/09/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261125104712 CMS
Alphatec Spine, Inc $23.8909/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497256 CMS
Medtronic, Inc. $57.5809/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119355729 CMS
Alphatec Spine, Inc $26.8509/03/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497244 CMS
Alphatec Spine, Inc $33.9109/03/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497248 CMS
Stryker Corporation $169.8608/29/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833413 CMS
Stryker Corporation $171.6708/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833407 CMS
Stryker Corporation $14.9808/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833409 CMS
Stryker Corporation $23.4708/27/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833411 CMS
Stryker Corporation $33.4608/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833405 CMS
ABBVIE INC. $7.3208/22/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261103768570 CMS
DePuy Synthes Sales Inc. $63.7108/20/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261077870387 CMS
Alphatec Spine, Inc $950.9008/01/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497258 CMS
Alphatec Spine, Inc $210.5607/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497254 CMS
Kuros Biosciences USA, Inc $141.5107/30/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261139157429 CMS
Stryker Corporation $492.8307/29/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833403 CMS
Alphatec Spine, Inc $153.2207/25/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497260 CMS
DePuy Synthes Sales Inc. $29.4907/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261077870417 CMS
Medtronic, Inc. $149.4907/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119355725 CMS
Medtronic, Inc. $27.5407/17/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119355727 CMS
Alphatec Spine, Inc $920.0007/11/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497116 CMS
Alphatec Spine, Inc $20.9207/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497246 CMS
Alphatec Spine, Inc $13.0807/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497250 CMS
Alphatec Spine, Inc $74.0007/08/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497252 CMS
Stryker Corporation $19.2806/26/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833401 CMS
DePuy Synthes Sales Inc. $93.9906/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261077870402 CMS
LifeNet Health $93.9906/18/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261153022302 CMS
Alphatec Spine, Inc $131.3306/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497176 CMS
Alphatec Spine, Inc $80.8506/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497178 CMS
Alphatec Spine, Inc $33.6406/14/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497182 CMS
Alphatec Spine, Inc $112.2506/14/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497186 CMS
Alphatec Spine, Inc $35.9406/14/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497188 CMS
Alphatec Spine, Inc $112.2506/14/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497220 CMS
Stryker Corporation $11.0106/13/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833399 CMS
Stryker Corporation $15.8005/23/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833397 CMS
Alphatec Spine, Inc $25.0005/22/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497150 CMS
Alphatec Spine, Inc $1,017.8105/22/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497152 CMS
Alphatec Spine, Inc $1,832.4005/22/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497154 CMS
Alphatec Spine, Inc $25.0005/22/2024 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/20261095497160 CMS
Stryker Corporation $38.6705/16/2024 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261119833395 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.