Physician profile
Alexander James Gamble
NPI 1518266410
$23,155.99
in general payments reported to CMS, 2019-2025
25 companies · $2,903 in 2025
The $2,903 reported for 2025 was more than what a typical Neurological Surgery provider received nationally (typical 2025 total: $604).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $1,974 · 2020: $941 · 2021: $3,346 · 2022: $681 · 2023: $3,601 · 2024: $9,708 · 2025: $2,903.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $7,368 · Travel and Lodging: $6,501 · Consulting Fee: $2,324 · Education: $20.00.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $7,367.94 |
| Travel and Lodging | $6,501.00 |
| Consulting Fee | $2,324.01 |
| Education | $20.00 |
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 |
|---|---|---|---|
| Stryker Corporation | $8,167.81 | 2019-2025 | Napa, Spinemask, N/A |
| Alphatec Spine, INC | $7,480.93 | 2024-2025 | Other - Miscellaneous, Invictus Open, Solus Alif |
| Depuy Synthes Products, INC. | $2,579.61 | 2023 | |
| Medtronic, INC. | $1,190.97 | 2023-2025 | O-Arm, Stealthstation S8 Platform, Mazor X System |
| Depuy Synthes Sales INC. | $1,011.10 | 2019-2025 | Spine & Trauma 3d Navigation, Conduit, Viper |
| Vb Spine LLC | $487.92 | 2025 | Napa Access System, Niagara Lateral Access System, Yukon Oct Spinal System |
| Spine Wave, INC. | $371.67 | 2019-2020 | |
| Lifenet Health | $255.61 | 2024 | Allograft Vmis Delivery System |
| Abbott Laboratories | $246.54 | 2021-2024 | Eterna, Proclaim |
| Abbvie INC. | $243.17 | 2021-2025 | |
| Orthofix Medical, INC. | $190.83 | 2022-2025 | Spinal-Stim |
| Kuros Biosciences USA, INC | $141.51 | 2024 | Magnetos |
| Precision Spine, INC. | $124.11 | 2024 | |
| Medexus Pharma, INC. | $117.69 | 2025 | Gleolan |
| Ossdsign USA Incorporated | $117.45 | 2024 |
Show all 25 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Biocomposites INC | $111.64 | 2025 | Stimulan |
| Choice Spine, LLC | $83.25 | 2025 | Thunderbolt Minimally Invasive Pedicle Screw Systems, Triton, Veo Lateral Interbody Fusion System |
| Neo Spine USA, INC. | $60.75 | 2021 | |
| Globus Medical, INC. | $47.47 | 2025 | Hedron, Fortify, Creo |
| Cerapedics INC. | $32.55 | 2025 | I-Factor Peptide Enhanced Bone Graft |
| Si-Bone, INC. | $22.21 | 2024 | |
| Radius Health, INC. | $21.65 | 2020 | |
| Csl Behring | $20.00 | 2024 | Kcentra |
| Smith+Nephew, INC. | $15.67 | 2022 | |
| Shionogi INC | $13.88 | 2019 |
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 Alexander Gamble 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.