Medicare Enrolled
Dr. Erik Spayde, MD
Orthopedic Surgery · Thousand Oaks, CA
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Mixed engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Spayde from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Spayde
Dr. Erik Spayde is an orthopedic surgery specialist in Thousand Oaks, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Spayde performed 8,894 Medicare services across 6,751 unique beneficiaries.
Between the years covered by Open Payments, Dr. Spayde received a total of $1,118,532 from 70 pharmaceutical and/or device companies across 764 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Spayde is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 4% volume in CA
$1,118,532 industry payments
Medicare Practice Summary
Medicare Utilization ↗8,894
Medicare services
Top 4% in CA for orthopedic surgery
6,751
Unique beneficiaries
$247
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~468 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,928 | $103 | $228 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
775 | $118 | $2,608 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
772 | $35 | $110 |
| Ultrasound of arm and leg arteries A non-invasive imaging test that uses sound waves to examine the blood vessels in the arms and legs. It evaluates blood flow and checks for blockages or other vascular issues. |
706 | $116 | $822 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
338 | $135 | $348 |
| Autonomic nervous system function test This test evaluates how well the sympathetic nervous system is functioning. It assesses the automatic control of bodily processes such as heart rate and blood pressure. |
322 | $112 | $282 |
| Electrocardiogram, 1-3 leads with physician review A heart rhythm test using one to three electrodes to record electrical activity, with interpretation by a physician. |
289 | $11 | $63 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
249 | $170 | $3,050 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
230 | $117 | $2,607 |
| Autonomic nervous system testing with heart rate response to deep breathing This test evaluates the function of the autonomic nervous system by measuring how the heart rate changes in response to deep breathing. |
180 | $78 | $274 |
| MRI of middle spinal canal, without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye. |
179 | $118 | $2,610 |
| Release of nerve using operating microscope | 175 | $150 | $5,939 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
172 | $35 | $101 |
| Autonomic nervous system testing with tilt This test evaluates the function of the sympathetic and parasympathetic nervous systems. It involves monitoring the patient for at least five minutes while they are tilted. |
167 | $135 | $841 |
| Release of upper leg nerve | 158 | $471 | $2,800 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
155 | $467 | $4,500 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
154 | $316 | $2,900 |
| Harvest of bone fragment for spine bone graft A surgical procedure to remove a piece of bone from the patient's body to be used as a graft during spine surgery. |
144 | $136 | $1,524 |
| X-ray of lower and sacral spine, minimum 6 views An X-ray imaging test that captures at least six views of the lower back and sacral spine to evaluate bone structure and alignment. |
138 | $56 | $220 |
| MRI of pelvis, without contrast A magnetic resonance imaging scan of the pelvic area performed without the use of contrast dye. |
132 | $158 | $2,211 |
| Release of lower spinal cord or nerves, single segment A surgical procedure to free the lower spinal cord or nerves from surrounding tissue at a single spinal level. |
126 | $679 | $5,000 |
| Fusion of spine in lower back | 112 | $1,276 | $4,500 |
| X-ray of middle spine, 2 views An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints. |
101 | $29 | $88 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
97 | $209 | $2,000 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
93 | $614 | $3,100 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
85 | $134 | $2,770 |
| Spinal fusion with cage or mesh insertion A surgical procedure to fuse vertebrae by inserting a cage or mesh device into the disc space between the bones. |
60 | $271 | $2,097 |
| Spinal fracture stabilization with imaging guidance A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment. |
57 | $5,419 | $31,200 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
57 | $131 | $2,770 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
53 | $617 | $3,000 |
| Remote therapy monitoring setup and education This service involves setting up equipment and providing patient education for the remote monitoring of therapy. |
51 | $17 | $200 |
| Spinal stabilization device placement Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device. |
48 | $5,433 | $31,000 |
| Anterior lumbar interbody fusion with partial disc removal A surgical procedure to fuse the lower spine bones by accessing the area through the abdomen and partially removing a spinal disc. |
47 | $660 | $4,800 |
| Spinal fusion exploration A surgical procedure to examine the site of a previous spinal fusion. The surgeon inspects the area to assess the status of the fusion and surrounding structures. |
45 | $348 | $5,373 |
| Spinal cord or nerve release, single segment A surgical procedure to free the spinal cord or nerves at one specific level of the spine. |
41 | $259 | $3,100 |
| Spinal stabilization device, each additional segment Placement of a stabilizing device on an additional segment of a broken spine bone. This code is used for each extra segment treated beyond the initial one. |
39 | $2,752 | $19,950 |
| Removal of spinal stabilizing device Surgical removal of a segmental stabilizing device from the back of the spine. |
36 | $301 | $3,000 |
| X-ray of upper spine, 6 or more views An X-ray imaging test of the upper spine using six or more separate views to capture detailed images of the bones and structures in that area. |
33 | $57 | $148 |
| Anterior spinal fusion with partial disc removal, each additional disc This procedure involves fusing spine bones together through an incision in the front of the body, with partial removal of the disc, for each additional disc treated. |
31 | $263 | $4,902 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
29 | $1,469 | $7,500 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
29 | $126 | $3,211 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
28 | $154 | $355 |
| Functional capacity test, per 15 minutes A test or measurement to assess functional capacity. The service is billed for each 15-minute increment. |
26 | $26 | $200 |
| Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | 25 | $320 | $2,532 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
24 | $209 | $17,811 |
| Pelvic joint fusion with imaging guidance A surgical procedure to join bones in the pelvic joint together. Imaging technology is used to guide the surgeon during the operation. |
23 | $810 | $15,426 |
| Anterior removal of upper spine bone with nerve release, single segment This procedure involves removing a bone from the upper spine through an anterior approach to release pressure on the spinal cord or nerves. It is performed on a single spinal segment. |
22 | $1,453 | $8,466 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
21 | $587 | $3,427 |
| Release of major arm or leg nerve | 21 | $499 | $2,779 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
20 | $705 | $4,243 |
| Upper spine bone removal with nerve release, additional segment Surgical removal of bone from the upper spine to relieve pressure on the spinal cord or nerves. This code applies to each additional spinal segment treated beyond the first. |
14 | $214 | $4,800 |
| Bone healing electrical stimulation device placement A device is surgically placed to deliver electrical stimulation to promote bone healing. |
13 | $74 | $233 |
| Spinal bone removal with nerve release, single segment Surgical removal of a single segment of bone from the middle, lower, or sacral spine to release pressure on the spinal cord or nerves. The procedure is performed through an approach inside the abdominal cavity or behind it. |
12 | $1,601 | $4,600 |
| New patient office visit, complex (60-74 min) | 12 | $188 | $431 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
7.5% high complexity
25.3% medium
67.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,118,532
Total received (2018-2024)
Avg $159,790/year across 7 years
Top 2% in CA for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
70
Companies
764
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$1,013,405 (90.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$81,364 (7.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,747 (1.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$2,015 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$69,417
2023
$92,397
2022
$91,855
2021
$66,779
2020
$59,747
2019
$717,855
2018
$20,483
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Biogennix, LLC
$52,275
Orthofix Medical, Inc.
$13,414
AxioMed LLC
$1,310
Globus Medical, Inc.
$541
BIOTRONIK NRO, Inc.
$428
SPINEFRONTIER, INC.
$320
Medtronic, Inc.
$266
Boston Scientific Corporation
$240
XTANT MEDICAL INC
$144
Merit Medical Systems Inc
$124
DJO, LLC
$69
Augmedics Inc.
$61
VERTEX PHARMACEUTICALS INCORPORATED
$34
Radius Health, Inc.
$31
Curonix LLC
$31
Abbott Laboratories
$30
Arteriocyte Medical Systems, Inc.
$30
Baxter Healthcare
$24
SI-BONE, INC.
$23
Collegium Pharmaceutical, Inc.
$21
Top 3 companies account for 96.5% of 2024 payments
All-time payments by company (2018-2024) ›
NuVasive, Inc.
$714,935
Biogennix, LLC
$312,517
The Institute of Musculoskeletal Science and Education
$30,656
Orthofix Medical, Inc.
$21,810
SEASPINE ORTHOPEDICS CORPORATION
$9,343
Arteriocyte Medical Systems, Inc.
$6,273
Camber Spine Technologies LLC
$4,212
Baxter Healthcare
$2,757
Globus Medical, Inc.
$2,104
Surgalign Spine Technologies, Inc.
$1,901
SPINEFRONTIER, INC.
$1,623
AxioMed LLC
$1,555
Boston Scientific Corporation
$1,055
Abbott Laboratories
$928
Medtronic, Inc.
$846
BIOTRONIK NRO, Inc.
$641
Providence Medical Technology, Inc.
$371
Medtronic USA, Inc.
$348
CoreLink, LLC
$340
Merit Medical Systems Inc
$315
Radius Health, Inc.
$301
Stryker Corporation
$235
Captiva Spine Inc
$216
Cerapedics, Inc.
$214
PROVIDENCE MEDICAL TECHNOLOGY, INC.
$187
Nevro Corp.
$179
Foundation Fusion Solutions, LLC
$163
Augmedics Inc.
$161
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$152
XTANT MEDICAL INC
$144
Stimwave Technologies Incorporated
$130
Ethicon US, LLC
$120
SI-BONE, INC.
$116
Spineology Inc.
$94
Horizon Therapeutics plc
$91
DJO, LLC
$89
PAINTEQ LLC
$84
SPINEART USA INC
$80
BAXTER HEALTHCARE
$74
Integra LifeSciences Corporation
$65
Electronic Waveform Lab, Inc.
$64
Horizon Pharma plc
$61
Camber Spine Technologies
$58
Centinel Spine, LLC
$57
Curonix LLC
$52
Amgen Inc.
$51
Alphatec Spine, Inc
$50
Kowa Pharmaceuticals America, Inc.
$49
Saxum Surgical, Inc.
$48
Vertiflex, Inc.
$47
Fidia Pharma USA Inc.
$47
GRT US Holding, Inc.
$45
Sentynl Therapeutics, Inc.
$45
SI-BONE, Inc.
$45
RTI Surgical, Inc.
$43
VERTEX PHARMACEUTICALS INCORPORATED
$34
Edwards Lifesciences Corporation
$33
Misonix Inc
$31
Bioventus LLC
$31
Spinal Simplicity, LLC
$28
AbbVie Inc.
$28
Relievant Medsystems, Inc.
$27
Davol Inc.
$23
Vertos Medical, Inc.
$23
Collegium Pharmaceutical, Inc.
$21
Innovation Technologies Inc
$19
Intrinsic Therapeutics
$16
Forte Bio-Pharma LLC
$11
Orthogenrx Inc.
$11
Terumo BCT, Inc.
$7
Top 3 companies account for 94.6% of all-time payments
Associated products mentioned in payments ›
10MM · 12.5MM X 50MM · ACIFT Solofuse · ACP · ADAPTIVESTIM · ADIRA · AIRCAST · ALIF · ALTERA · AQUAMANTYS · AQUAMANTYS(TM) · ARTISAN · Agilon · Allograft · Arena C-HA · AttraX · BARRICAID ACD (ANNULAR CLOSURE DEVICE) · BIOTRONIK · Belbuca · BoneScalpel · CAVUX Cervical Cage · COALESCE · COALITION · CODMAN CERTAS · COFLEX INTERLAMINAR TECHNOLOGY · COVEREDGE · CREO MIS · Cervical-Stim · ClearSight System · Cosine · DERMABOND · DUEXIS · DUO TI EXPANDABLE INTERBODY FUSION SYSTEM · ELSA · EVENITY · EXCELSIUS · EXCELSIUS GPS · Excelsius Robotics System · Excelsius3D Imaging System · ExcelsiusGPS Robotic Navigation System · FLOSEAL · FORTILINK CAGES WITH TIPLUS TECHNOLOGY · Freedom Lumbar Disc · GenVisc 850 · Graft Delivery System · HA MINUTEMAN G3-R · HARVEST BMAC · HYMOVIS · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · IFUSE IMPLANT · ILIF · INFINION · INTELLIS ADAPTIVESTIM · IRRISEPT · IVAS · IVS - IVAS · IVS - MULTIGEN 2RF · IVS - VERTEBRAL AUGMENTATION PRODUCTS · Inspan · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · LessRay · Levorphanol · M6-C · MAZOR X SYSTEM · Magellan · Mariner · MazorX Renaissance · Megadyne Ace Blade 700 · Minuteman · Modulus · Morpheus · NEURO-INSTRUMENTS R&B · NEW PRODUCT DEVELOPMENT · NVM5 · Nalocet · Neuromodulation Dspsbls and Accs · OSTENE · Omnia · Orthros Quarter Turn · Osteocel · PAINTEQ · PLASMABLADE(TM) · PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A · PROCARE · PROCLAIM · PRODISC L · Penta SCS Leads · PlasmaBlade · Proclaim Family of SCS IPGs · Proclaim IPG · Prospera · Pulse · QUARTEX · Qutenza · RADIALUX · RAYOS · RELINE · RELISTOR · RUGGLES · Rampart Duo Interbody Fusion System · Rampart Duo Ti Interbody Fusion System · SABLE · SCARLET AL-T · SEGLENTIS · SI-LOK · SIMMETRY IMPLANT · SImmetry Sacroiliac Joint Fusion System · SPECTRA WAVEWRITER · SPECTRA WAVEWRITER (REFURBISHED) · SPINEJACK · STAR Tumor Ablation System · STREAMLINE TL SPINAL FIXATION SYSTEM · SUPERION · SURGIFLO Hemostatic Matrix · SURGIFLO Hemostatic Matrix Family of Products · Seglentis · Senza · Shoreline · Simplify Cervical Artificial Disc · Spira · StabiliT · StabiliT System · StimQ Receiver Stimulator Kit Channel A US w/Receiver · Supartz FX Sodium Hyaluronate · Superion ISS · TISSEEL · TLIF Retractor · Transfasten · Triad · Tymlos · UBRELVY · VIMOVO · WaveWriter Alpha Prime 16 · X-CORE · XLIF · Xvision · i-FACTOR Putty · mild Device Kit
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 2% for orthopedic surgery in CA.
Geographic Context
Orthopedic surgeons within 10 mi
125
Per 100K population
14.9
County median income
$107,327
Nearest hospital
LOS ROBLES HOSPITAL & MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Spayde is a clinical cardiology specialist, with above-average Medicare volume (top 4% in CA), with mixed engagement industry engagement in the top 2% of CA peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Spayde experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Spayde performed 1,928 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Spayde receive payments from pharmaceutical companies?
Yes. Dr. Spayde received a total of $1,118,532 from 70 companies across 764 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Spayde's costs compare to other orthopedic surgeons in Thousand Oaks?
Dr. Spayde's average Medicare payment per service is $247. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Spayde) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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