Titan Spine, LLC

Reporting payments is a legal requirement; large totals often reflect large product portfolios.

$430Kgeneral payments (2019-2025)
$0.00research payments (2019-2025)
166clinicians paid

General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.

General payments by year

2019 $430K

General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.

Specialties it works with most

Orthopaedic Surgery of The Spine $261K
Neurological Surgery $135K
Orthopaedic Surgery $33K
Vascular Surgery $197
Internal Medicine $170
Pain Medicine (Anesthesiology) $145

Clinicians with the largest reported totals

Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.

ClinicianLocationSpecialtyGeneral payments (2019-2025)
Gerard Girasole Trumbull, CT Orthopaedic Surgery of The Spine $72,871.44
David De Witt Appleton, WI Orthopaedic Surgery of The Spine $58,433.00
Jeffrey Spivak New York, NY Orthopaedic Surgery of The Spine $45,711.00
Thomas Wascher Appleton, WI Neurological Surgery $43,309.00
Karl Greene Pleasant Prairie, WI Neurological Surgery $43,309.00
Betsy Grunch Gainesville, GA Neurological Surgery $32,223.46
Steven Mcanany Stamford, CT Orthopaedic Surgery of The Spine $25,175.29
Kade Huntsman Salt Lake City, UT Orthopaedic Surgery of The Spine $19,342.00
Andy Kranenburg Medford, OR Orthopaedic Surgery of The Spine $17,843.84
Barrett Woods Egg Harbor Township, NJ Orthopaedic Surgery $17,358.04

Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.