Payment overview · 2025
General Payments
$2,903.33
51 reported records · 12 companies
Healthcare provider profile · identity verified
Alexander James Gamble, DO
Allopathic & Osteopathic Physicians|Neurological Surgery · BEDFORD, NH · NPI 1518266410
Verified facts
What the public records show
CMS Open Payments records show Alexander James Gamble, DO received $2,903.33 in general payments during 2025 across 51 reported records.
Alphatec Spine, Inc accounted for 41.2% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 33 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Alphatec Spine, Inc | Unresolved — no canonical attribution shown | $1,196.72 | 41.2% | 22 | 2025 |
| VB Spine LLC | Unresolved — no canonical attribution shown | $487.92 | 16.8% | 10 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$292.55 | 10.1% | 3 | 2025 |
| Stryker Corporation | Unresolved — no canonical attribution shown | $254.69 | 8.8% | 6 | 2025 |
| DePuy Synthes Sales Inc. | Unresolved — no canonical attribution shown | $177.78 | 6.1% | 3 | 2025 |
| Medexus Pharma, Inc. | Unresolved — no canonical attribution shown | $117.69 | 4.0% | 1 | 2025 |
| Biocomposites Inc | Unresolved — no canonical attribution shown | $111.64 | 3.9% | 1 | 2025 |
| Choice Spine, LLC | Unresolved — no canonical attribution shown | $83.25 | 2.9% | 1 | 2025 |
| Orthofix Medical, Inc. | Unresolved — no canonical attribution shown | $68.13 | 2.4% | 1 | 2025 |
| Globus Medical, Inc. | Unresolved — no canonical attribution shown | $47.47 | 1.6% | 1 | 2025 |
| ABBVIE INC. | Unresolved — no canonical attribution shown | $32.94 | 1.1% | 1 | 2025 |
| Cerapedics Inc. | Unresolved — no canonical attribution shown | $32.55 | 1.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $2,731.22 | 46 |
| Travel and Lodging | $172.11 | 5 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Other - Miscellaneous Normalized: other miscellaneous |
Device | Alphatec Spine, Inc | $397.27 | 5 | 2025 |
Source payment records
|
|||||
| O-ARM Normalized: o arm |
Device | Medtronic, Inc. | $292.55 | 3 | 2025 |
Source payment records
|
|||||
| NAPA ACCESS SYSTEM Normalized: napa access system |
Device | VB Spine LLC | $183.47 | 2 | 2025 |
Source payment records
|
|||||
| CONDUIT Normalized: conduit |
Device | DePuy Synthes Sales Inc. | $122.34 | 2 | 2025 |
Source payment records
|
|||||
| GLEOLAN Normalized: gleolan |
Biological | Medexus Pharma, Inc. | $117.69 | 1 | 2025 |
Source payment records
|
|||||
| Stimulan Normalized: stimulan |
Device | Biocomposites Inc | $111.64 | 1 | 2025 |
Source payment records
|
|||||
| N/A Normalized: n a |
Device | Stryker Corporation | $103.34 | 1 | 2025 |
Source payment records
|
|||||
| Biologics Normalized: biologics |
Device | Alphatec Spine, Inc | $102.72 | 3 | 2025 |
Source payment records
|
|||||
| BLACKHAWK CERVICAL SPACER SYSTEM Normalized: blackhawk cervical spacer system |
Device | Choice Spine, LLC | $83.25 | 1 | 2025 |
Source payment records
|
|||||
| STRATOFUSE Normalized: stratofuse |
Device | Choice Spine, LLC | $83.25 | 1 | 2025 |
Source payment records
|
|||||
| THUNDERBOLT MINIMALLY INVASIVE PEDICLE SCREW SYSTEMS Normalized: thunderbolt minimally invasive pedicle screw systems |
Device | Choice Spine, LLC | $83.25 | 1 | 2025 |
Source payment records
|
|||||
| TRITON Normalized: triton |
Device | Choice Spine, LLC | $83.25 | 1 | 2025 |
Source payment records
|
|||||
| VEO LATERAL INTERBODY FUSION SYSTEM Normalized: veo lateral interbody fusion system |
Device | Choice Spine, LLC | $83.25 | 1 | 2025 |
Source payment records
|
|||||
| NIAGARA LATERAL ACCESS SYSTEM Normalized: niagara lateral access system |
Device | VB Spine LLC | $74.08 | 1 | 2025 |
Source payment records
|
|||||
| Spinal-Stim Normalized: spinal stim |
Device | Orthofix Medical, Inc. | $68.13 | 1 | 2025 |
Source payment records
|
|||||
| CASCADIA INTERBODY SYSTEM Normalized: cascadia interbody system |
Device | Stryker Corporation, VB Spine LLC | $65.84 | 2 | 2025 |
Source payment records
|
|||||
| YUKON OCT SPINAL SYSTEM Normalized: yukon oct spinal system |
Device | VB Spine LLC | $59.17 | 1 | 2025 |
Source payment records
|
|||||
| CAPRI CORPECTOMY CAGE SYSTEM Normalized: capri corpectomy cage system |
Device | Stryker Corporation, VB Spine LLC | $58.10 | 2 | 2025 |
Source payment records
|
|||||
| EVEREST SPINAL SYSTEM Normalized: everest spinal system |
Device | Stryker Corporation, VB Spine LLC | $55.66 | 2 | 2025 |
Source payment records
|
|||||
| EXPEDIUM Normalized: expedium |
Device | DePuy Synthes Sales Inc. | $55.44 | 1 | 2025 |
Source payment records
|
|||||
| SKYLINE Normalized: skyline |
Device | DePuy Synthes Sales Inc. | $55.44 | 1 | 2025 |
Source payment records
|
|||||
| SYMPHONY Normalized: symphony |
Device | DePuy Synthes Sales Inc. | $55.44 | 1 | 2025 |
Source payment records
|
|||||
| MESA SMALL STATURE SPINAL SYSTEM Normalized: mesa small stature spinal system |
Device | Stryker Corporation | $48.27 | 1 | 2025 |
Source payment records
|
|||||
| ALTERA Normalized: altera |
Device | Globus Medical, Inc. | $47.47 | 1 | 2025 |
Source payment records
|
|||||
| CREO Normalized: creo |
Device | Globus Medical, Inc. | $47.47 | 1 | 2025 |
Source payment records
|
|||||
| FORTIFY Normalized: fortify |
Device | Globus Medical, Inc. | $47.47 | 1 | 2025 |
Source payment records
|
|||||
| HEDRON Normalized: hedron |
Device | Globus Medical, Inc. | $47.47 | 1 | 2025 |
Source payment records
|
|||||
| MONTEREY AL Normalized: monterey al |
Device | VB Spine LLC | $38.98 | 1 | 2025 |
Source payment records
|
|||||
| NAPA Normalized: napa |
Device | Stryker Corporation | $38.68 | 1 | 2025 |
Source payment records
|
|||||
| BOTOX Normalized: botox |
Biological | ABBVIE INC. | $32.94 | 1 | 2025 |
Source payment records
|
|||||
| I-FACTOR PEPTIDE ENHANCED BONE GRAFT Normalized: i factor peptide enhanced bone graft |
Device | Cerapedics Inc. | $32.55 | 1 | 2025 |
Source payment records
|
|||||
| SIros Normalized: siros |
Device | VB Spine LLC | $10.07 | 1 | 2025 |
Source payment records
|
|||||
| CANYON RETRACTOR SYSTEMS Normalized: canyon retractor systems |
Device | VB Spine LLC | $6.95 | 1 | 2025 |
Source payment records
|
|||||
* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Oxycodone Hcl | Oxycodone Hcl | 62 | 26 |
| Pregabalin | Pregabalin | 49 | suppressed |
| Diazepam | Diazepam | 34 | 24 |
| Diclofenac Sodium | Diclofenac Sodium | 27 | 12 |
| Tizanidine Hcl | Tizanidine Hcl | 27 | 14 |
| Celecoxib | Celecoxib | 23 | suppressed |
| Levetiracetam | Levetiracetam | 23 | suppressed |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 19 | suppressed |
| Tramadol Hcl | Tramadol Hcl | 15 | suppressed |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 14 | suppressed |
| Baclofen | Baclofen | 13 | suppressed |
| Gabapentin | Gabapentin | 12 | suppressed |
| Methylprednisolone | Methylprednisolone | 12 | 11 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $2,903.33 · 51 records | Alphatec Spine, Inc | ALTERA, BLACKHAWK CERVICAL SPACER SYSTEM, BOTOX, Biologics, CANYON RETRACTOR SYSTEMS, CAPRI CORPECTOMY CAGE SYSTEM, CASCADIA INTERBODY SYSTEM, CONDUIT, CREO, EVEREST SPINAL SYSTEM, EXPEDIUM, FORTIFY, GLEOLAN, HEDRON, I-FACTOR PEPTIDE ENHANCED BONE GRAFT, MESA SMALL STATURE SPINAL SYSTEM, MONTEREY AL, N/A, NAPA, NAPA ACCESS SYSTEM, NIAGARA LATERAL ACCESS SYSTEM, O-ARM, Other - Miscellaneous, SIros, SKYLINE, STRATOFUSE, SYMPHONY, Spinal-Stim, Stimulan, THUNDERBOLT MINIMALLY INVASIVE PEDICLE SCREW SYSTEMS, TRITON, VEO LATERAL INTERBODY FUSION SYSTEM, YUKON OCT SPINAL SYSTEM | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error