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

JAMES I SPAK

Allopathic & Osteopathic Physicians Orthopaedic Surgery Sports Medicine

NPI
1740225416
CMS profile
1304600
Location
TRUMBULL, CT

General Payments · PY2018–2024

$877.99

  • Reported across 30 records
  • CMS publication 2026-01-23

Latest program year · PY2024

$326.99

9 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
Food and Beverage $326.99 9

By paying entity

PY2024 · sorted by reported total

Paying entityAmountRecords
DePuy Synthes Sales Inc. $178.84 4
Stryker Corporation $102.75 3
Orthofix Medical, Inc. $27.32 1
Vericel Corporation $18.08 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2018 $97.68 6
PY2019 $196.51 9
PY2021 $21.35 1
PY2022 $125.00 1
PY2023 $110.46 4
PY2024 $326.99 9

Payment records · PY2024 (9)

Sorted by paying entity, then date · as published by CMS

Program year 2024 20182019202120222023 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
DePuy Synthes Sales Inc. $14.38 05/10/2024 Food and Beverage Undisputed 01/23/2026 1077820440 CMS
DePuy Synthes Sales Inc. $132.27 05/11/2024 Food and Beverage Undisputed 01/23/2026 1077820489 CMS
DePuy Synthes Sales Inc. $16.71 08/19/2024 Food and Beverage Undisputed 01/23/2026 1077820474 CMS
DePuy Synthes Sales Inc. $15.48 11/20/2024 Food and Beverage Undisputed 01/23/2026 1077820553 CMS
Orthofix Medical, Inc. $27.32 12/04/2024 Food and Beverage Undisputed 01/23/2026 1127605475 CMS
Stryker Corporation $48.25 04/12/2024 Food and Beverage Undisputed 01/23/2026 1119986508 CMS
Stryker Corporation $38.42 05/08/2024 Food and Beverage Undisputed 01/23/2026 1119986510 CMS
Stryker Corporation $16.08 10/17/2024 Food and Beverage Undisputed 01/23/2026 1119986512 CMS
Vericel Corporation $18.08 05/02/2024 Food and Beverage Undisputed 01/23/2026 1128574268 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, 2021, 2022, 2023, 2024
Source files
Dataset page · Bulk file · PY2018 , PY2019 , 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.