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Alejandro Spiotta
Neurological Surgery · Charleston, SC · NPI 1346417359
One page to bring to your appointment. Every figure is as reported to CMS by drug and device makers. Payments are legal and often routine; this is context for a conversation, not a verdict.
What was reported
$894,104.07
in general payments reported to CMS, 2019-2025 · $67K in 2025
The $67K reported for 2025 was more than what 96% of Neurological Surgery providers received nationally (typical 2025 total: $604).
Who reported paying
General payments only, top 6 by amount.
- Ischemaview, INC. $420,000.00
- Penumbra, INC. $212,989.78
- Stryker Corporation $151,887.98
- Medical Device Business Services, INC. $70,875.47
- Terumo Medical Corporation $20,413.80
- Medtronic, INC. $7,955.75
Drugs and devices associated with these payments
Penumbra System Red 72 Smart Coil Emboguard Tr Band Cerepak Uniform Glidesheath Slender Target Web Aneurysm Embolization System Benchmark Surpass Evolve Axium Primetm
Association is not allocation: a product listed here means a payment was associated with it, not that money was paid to promote it. Detail covers 2023-2025.
Questions you might ask
- I saw Alejandro Spiotta 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.
Notes
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.
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