Covered recipient · General Payments record
RAPHAEL ROYBAL
Allopathic & Osteopathic Physicians Orthopaedic Surgery Orthopaedic Surgery of the Spine
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.
Saved only in this browser. No account or alerts.
General Payments · PY2019 · Entire year
$51,401.26
66 records · 0 disputed
“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 payment | Amount | Records |
|---|---|---|
| Royalty or License | $35,838.23 | 8 |
| Consulting Fee | $11,525.00 | 7 |
| Food and Beverage | $2,654.12 | 43 |
| Travel and Lodging | $1,213.68 | 5 |
| Education | $125.82 | 2 |
| Gift | $44.41 | 1 |
By paying entity
PY2019 · entire year · sorted by reported total
| Paying entity | Amount | Records |
|---|---|---|
| Integrity Implants Inc | $43,231.48 | 21 |
| Orthofix Medical, Inc. | $2,446.23 | 4 |
| Silony Medical Corp. | $2,400.00 | 1 |
| Centinel Spine, LLC | $1,070.16 | 2 |
| Republic Spine, LLC | $1,070.05 | 14 |
| Boston Scientific Corporation | $485.96 | 13 |
| Captiva Spine Inc | $351.85 | 5 |
| Zimmer Biomet Holdings, Inc. | $238.92 | 4 |
| Biedermann Motech, Inc. | $56.28 | 1 |
| TITAN SPINE, LLC | $50.33 | 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
66 matching records · $51,401.26 reported total · 0 disputed
Nature of payment: All payment types
Records imported here (UTC).
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 66.
| Paying entity | Amount | Date | Nature of payment | Dispute status | Publication flags | Published | Record ID | Source |
|---|---|---|---|---|---|---|---|---|
| Integrity Implants Inc | $9,422.33 | 12/31/2019 | Royalty or License | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 697049979 | CMS |
| Republic Spine, LLC | $23.26 | 12/27/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643147 | CMS |
| Republic Spine, LLC | $6.82 | 12/27/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643149 | CMS |
| Boston Scientific Corporation | $40.99 | 12/21/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896969 | CMS |
| Boston Scientific Corporation | $5.25 | 12/18/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896925 | CMS |
| Boston Scientific Corporation | $100.00 | 12/13/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 709053901 | CMS |
| Republic Spine, LLC | $204.15 | 12/12/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643171 | CMS |
| Boston Scientific Corporation | $16.99 | 12/03/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896947 | CMS |
| Boston Scientific Corporation | $12.00 | 11/23/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896939 | CMS |
| Integrity Implants Inc | $44.41 | 11/21/2019 | Gift | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 697050013 | CMS |
| Orthofix Medical, Inc. | $532.48 | 11/14/2019 | Royalty or License | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 693225027 | CMS |
| Boston Scientific Corporation | $12.91 | 10/29/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896943 | CMS |
| Boston Scientific Corporation | $18.57 | 10/25/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896953 | CMS |
| Boston Scientific Corporation | $26.42 | 10/25/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896959 | CMS |
| Republic Spine, LLC | $110.25 | 10/25/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643167 | CMS |
| Republic Spine, LLC | $23.46 | 10/25/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643169 | CMS |
| Republic Spine, LLC | $89.25 | 10/12/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643131 | CMS |
| Zimmer Biomet Holdings, Inc. | $62.91 | 10/03/2019 | Education | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 656514605 | CMS |
| Zimmer Biomet Holdings, Inc. | $62.91 | 10/03/2019 | Education | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 656514609 | CMS |
| Captiva Spine Inc | $89.25 | 10/01/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 675454375 | CMS |
| Integrity Implants Inc | $6,585.52 | 09/30/2019 | Royalty or License | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 697049977 | CMS |
| Captiva Spine Inc | $110.20 | 09/20/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 675454365 | CMS |
| Republic Spine, LLC | $91.83 | 09/20/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643123 | CMS |
| Republic Spine, LLC | $124.80 | 09/20/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643125 | CMS |
| Republic Spine, LLC | $56.97 | 09/19/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643121 | CMS |
| Zimmer Biomet Holdings, Inc. | $95.76 | 09/14/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 656514613 | CMS |
| Integrity Implants Inc | $113.04 | 09/12/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 697050007 | CMS |
| Republic Spine, LLC | $77.13 | 08/29/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643115 | CMS |
| Captiva Spine Inc | $92.28 | 08/19/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 675454361 | CMS |
| Captiva Spine Inc | $19.05 | 08/16/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 675454359 | CMS |
| Orthofix Medical, Inc. | $578.45 | 08/14/2019 | Royalty or License | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 693220843 | CMS |
| Centinel Spine, LLC | $1,000.00 | 07/08/2019 | Consulting Fee | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 707306929 | CMS |
| Boston Scientific Corporation | $28.49 | 07/05/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896965 | CMS |
| Integrity Implants Inc | $8,451.01 | 06/30/2019 | Royalty or License | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 697049975 | CMS |
| Boston Scientific Corporation | $83.65 | 06/16/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896983 | CMS |
| Republic Spine, LLC | $27.95 | 06/09/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643111 | CMS |
| Captiva Spine Inc | $41.07 | 05/20/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 675454351 | CMS |
| TITAN SPINE, LLC | $50.33 | 05/14/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 626052845 | CMS |
| Orthofix Medical, Inc. | $595.71 | 05/13/2019 | Royalty or License | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 693217011 | CMS |
| Biedermann Motech, Inc. | $56.28 | 04/26/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 626835707 | CMS |
| Boston Scientific Corporation | $10.45 | 04/25/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896933 | CMS |
| Republic Spine, LLC | $68.68 | 04/25/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643175 | CMS |
| Integrity Implants Inc | $8,933.14 | 03/31/2019 | Royalty or License | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 697049973 | CMS |
| Boston Scientific Corporation | $49.01 | 03/30/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896975 | CMS |
| Integrity Implants Inc | $98.52 | 03/24/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 697050003 | CMS |
| Zimmer Biomet Holdings, Inc. | $17.34 | 03/12/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 656514601 | CMS |
| Boston Scientific Corporation | $81.23 | 03/07/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 662896979 | CMS |
| Silony Medical Corp. | $2,400.00 | 03/04/2019 | Consulting Fee | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 707769223 | CMS |
| Republic Spine, LLC | $102.93 | 03/01/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 681643173 | CMS |
| Centinel Spine, LLC | $70.16 | 02/21/2019 | Food and Beverage | No dispute reported | Delay: No Change: UNCHANGED | 06/30/2026 | 707306927 | CMS |
By program year
All program years on this page · sorted by year
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.
Cite this record.
Permalink https://industrypayments.org/provider/npi-1518909712
- Plain
- RAPHAEL ROYBAL, NPI 1518909712. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1518909712.
- APA 7
- IndustryPayments. (2026). RAPHAEL ROYBAL, NPI 1518909712 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1518909712
- Bluebook
- RAPHAEL ROYBAL, NPI 1518909712, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1518909712.
Source: Centers for Medicare & Medicaid Services, Open Payments.