Physician profile
Alexander J Butler
NPI 1083076053
$69,885.97
in general payments reported to CMS, 2019-2025
21 companies · $51K in 2025
The $51K reported for 2025 was more than what 87% of Orthopaedic Surgery of The Spine providers received nationally (typical 2025 total: $2,116).
See the full distribution for Orthopaedic Surgery of the Spine
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $2,313 · 2021: $2,242 · 2022: $1,497 · 2023: $3,154 · 2024: $9,862 · 2025: $51K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Consulting Fee: $36K · Travel and Lodging: $14K · Food and Beverage: $7,674 · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $6,500.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Consulting Fee | $35,790.75 |
| Travel and Lodging | $13,869.28 |
| Food and Beverage | $7,673.99 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $6,500.00 |
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 |
|---|---|---|---|
| Vb Spine LLC | $21,044.58 | 2025 | Cascadia Interbody System, Everest Spinal System |
| Globus Medical, INC. | $13,297.72 | 2024-2025 | Mlx, Xlif, Direct Look |
| Stryker Corporation | $8,545.93 | 2021-2025 | Core, Everest Spinal System, Cascadia Interbody System |
| Alphatec Spine, INC | $8,305.74 | 2024-2025 | Other - Miscellaneous, Invictus Open, Biologics |
| Augmedics INC. | $8,050.08 | 2022-2025 | Xvision |
| Southern Edge Orthopaedics, INC. | $2,313.00 | 2019 | |
| Medtronic, INC. | $1,677.72 | 2022-2025 | Intellis Adaptivestim, Mazor X System, Divergence-L Anterior/Oblique Lumbar Fusion System |
| Arthrex, INC. | $1,586.70 | 2024-2025 | |
| Nuvasive, INC. | $1,541.36 | 2021-2023 | Xlif, Reline |
| Life Spine, INC. | $608.86 | 2024 | Avatar Minimally Invasive Spinal System, Prolift, Centric - T Retractor |
| Spineology INC. | $480.55 | 2023 | Optimesh Expandable Interbody Fusion System |
| Curiteva, INC. | $433.46 | 2023-2025 | |
| Medical Device Business Services, INC. | $371.27 | 2021 | |
| Suvon Surgical LLC | $332.35 | 2024-2025 | |
| Depuy Synthes Sales INC. | $293.29 | 2021-2024 | Conduit |
Show all 21 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Mml US, INC. | $204.27 | 2023 | Reactiv8 |
| Orthofix Medical, INC. | $192.74 | 2025 | Firebird Si Navigation System |
| Si-Bone, INC. | $176.41 | 2022-2023 | |
| Axis Spine Technologies INC. | $160.39 | 2025 | Axis Spine Technologies Alif Implant |
| Djo, LLC | $146.32 | 2023 | Cmf |
| Providence Medical Technology, INC. | $123.23 | 2022 |
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 Butler 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.