Physician profile
Thomas J Altstadt
NPI 1831366392
$36,472.00
in general payments reported to CMS, 2019-2025
15 companies · $2,866 in 2025
The $2,866 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: $12K · 2020: $2,420 · 2021: $3,582 · 2022: $9,087 · 2023: $2,912 · 2024: $3,279 · 2025: $2,866.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $7,050 · Food and Beverage: $1,027 · Consulting Fee: $980.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $7,049.72 |
| Food and Beverage | $1,027.23 |
| Consulting Fee | $980.00 |
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 |
|---|---|---|---|
| Globus Medical, INC. | $19,912.77 | 2019-2025 | Monument, Monument, Excelsius Gps |
| Medical Device Business Services, INC. | $14,532.66 | 2019-2024 | Viper, Spine & Trauma 3d Navigation |
| Depuy Synthes Sales INC. | $777.83 | 2019-2025 | Teligen, Vivigen Mis Delivery System, Synfix Evolution |
| Brainlab, INC. | $336.25 | 2019-2020 | |
| Camber Spine Technologies LLC | $173.89 | 2019 | |
| Zimmer Biomet Holdings, INC. | $173.57 | 2019-2021 | |
| Medicrea USA, Corp. | $127.79 | 2019 | |
| Amgen INC. | $126.54 | 2024 | Evenity |
| Medtronic USA, INC. | $93.48 | 2019 | |
| Alphatec Spine, INC | $92.24 | 2024 | Other - Miscellaneous |
| 4web, INC. | $67.12 | 2019 | |
| Medtronic, INC. | $20.76 | 2021 | |
| Averitas Pharma INC. | $19.34 | 2025 | Qutenza |
| Stryker Corporation | $17.76 | 2019 |
1 company reported research payments only; those appear in the research section below.
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 Thomas Altstadt 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.