Physician profile
Todd Alter
NPI 1184184095
$8,782.17
in general payments reported to CMS, 2019-2025
12 companies · $5,512 in 2025
The $5,512 reported for 2025 was more than what 91% of Hand Surgery providers received nationally (typical 2025 total: $270).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2022: $1,429 · 2023: $132 · 2024: $1,709 · 2025: $5,512.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Travel and Lodging: $3,769 · Food and Beverage: $2,084 · Consulting Fee: $1,500.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Travel and Lodging | $3,768.82 |
| Food and Beverage | $2,083.99 |
| Consulting Fee | $1,500.00 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Exactech, INC. | $1,722.80 | 2024-2025 | |
| Encore Medical, Lp | $1,684.80 | 2025 | Djo Surgical |
| Seapearl East, INC | $1,328.16 | 2022-2025 | |
| Medacta USA, INC. | $1,278.72 | 2025 | Gmk Sphere, Primary Shoulder, Nextar Rsa Platform |
| Arthrex, INC. | $1,176.61 | 2025 | |
| Skeletal Dynamics INC | $724.25 | 2025 | Ijs, Geminus, Implate |
| Stryker Corporation | $418.08 | 2022-2024 | Mako, Gamma |
| Axogen | $209.52 | 2025 | |
| Cgg Medical INC | $144.54 | 2025 | |
| Smith+Nephew, INC. | $56.05 | 2024 | Trigen Intertan |
| Globus Medical, INC. | $33.64 | 2024 | Xlif |
| Electronic Waveform Lab, INC. | $5.00 | 2025 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Todd Alter listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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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.