Physician profile
Joseph Toothaker Alvarez
NPI 1336193903
$23,430.35
in general payments reported to CMS, 2019-2025
36 companies · $3,992 in 2025
The $3,992 reported for 2025 was more than what 91% of Pain Medicine (Anesthesiology) providers received nationally (typical 2025 total: $458).
See the full distribution for Pain Medicine (Anesthesiology)
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $5,730 · 2020: $2,470 · 2021: $2,828 · 2022: $2,016 · 2023: $2,546 · 2024: $3,849 · 2025: $3,992.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $9,137 · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $1,250.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $9,136.62 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $1,250.00 |
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 |
|---|---|---|---|
| Medtronic, INC. | $12,680.49 | 2021-2025 | Intellis Adaptivestim, Accurian, Synchromedii |
| Medtronic USA, INC. | $3,075.50 | 2019-2020 | |
| Abbott Laboratories | $2,145.73 | 2019-2023 | Proclaim |
| Vertiflex, INC. | $1,412.27 | 2019 | |
| Boston Scientific Corporation | $1,173.85 | 2019-2024 | |
| Nevro Corp. | $822.62 | 2019-2023 | Senza |
| Biotronik Nro, INC. | $477.07 | 2025 | Prospera |
| Si-Bone, INC. | $258.64 | 2019-2025 | |
| Flowonix Medical Incorporated | $248.16 | 2019 | |
| Horizon Therapeutics Plc | $170.63 | 2019 | |
| Abbvie INC. | $168.82 | 2021-2025 | |
| Saluda Medical Americas, INC. | $146.26 | 2022-2024 | Evoke |
| Vertos Medical, INC. | $113.41 | 2019 | |
| Allergan, INC. | $50.40 | 2020 | |
| Sentynl Therapeutics, INC. | $43.04 | 2019 |
Show all 36 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Tersera Therapeutics LLC | $40.65 | 2022-2025 | Prialt |
| Salix Pharmaceuticals, A Division of Bausch Health US, LLC | $36.04 | 2019-2022 | |
| Collegium Pharmaceutical, INC. | $30.15 | 2019-2023 | Belbuca |
| Pacira Therapeutics, INC. | $27.05 | 2020 | |
| Grt US Holding, INC. | $25.85 | 2020 | |
| Vertex Pharmaceuticals Incorporated | $25.14 | 2024 | |
| Inspire Medical Systems, INC. | $21.58 | 2025 | Inspire |
| Bioventus LLC | $20.94 | 2024 | Durolane |
| Daiichi Sankyo INC. | $20.70 | 2019 | |
| Nalu Medical, INC. | $20.28 | 2024 | Nalu Neurostimulation System |
| Vertical Pharmaceuticals, LLC | $19.44 | 2019 | |
| Electronic Waveform Lab, INC. | $19.00 | 2021 | |
| Azurity Pharmaceuticals, INC. | $18.40 | 2025 | Horizant |
| Painteq LLC | $17.75 | 2023 | Painteq |
| Scilex Pharmaceuticals INC. | $16.88 | 2019 | |
| Lilly USA, LLC | $16.46 | 2022 | |
| Amgen INC. | $15.97 | 2020 | |
| Almatica Pharma LLC | $15.71 | 2021 | |
| Baudax Bio INC. | $12.30 | 2020 | |
| Biodelivery Sciences International, INC. | $12.01 | 2019 | |
| Arbor Pharmaceuticals, INC. | $11.16 | 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 Joseph Toothaker Alvarez 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.