Medicare Enrolled
Dr. John Small, MD
Orthopaedic Surgery of the Spine Physician · Temple Terrace, FL
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Small 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 →
Are you Dr. Small?
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What this data tells you about Dr. Small
Dr. John Small is an orthopaedic surgery of the spine physician in Temple Terrace, FL, with 21 years of NPI registration. Based on federal Medicare data, Dr. Small performed 3,604 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Small received a total of $395,590 from 21 pharmaceutical and/or device companies across 204 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Small 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.
✓ 21 years of NPI registration
▲ Top 12% volume in FL
$395,590 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 70409 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗3,604
Medicare services
Top 12% in FL for orthopaedic surgery of the spine physician
Not available
Unique patients (not deduplicated)
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 |
|---|---|---|---|
| MRI contrast dye injection (gadobutrol) | 1,230 | $0 | $3 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
418 | $68 | $460 |
| 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. |
212 | $30 | $199 |
| 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. |
208 | $98 | $640 |
| X-ray of entire middle and lower spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the entire middle and lower spine to visualize the bones and structures in these areas. |
176 | $53 | $350 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
151 | $21 | $140 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
144 | $42 | $290 |
| 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. |
134 | $231 | $2,160 |
| 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. |
129 | $145 | $1,170 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
94 | $39 | $270 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
91 | $37 | $260 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
72 | $80 | $570 |
| 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. |
67 | $136 | $1,100 |
| 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. |
57 | $194 | $1,430 |
| 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. |
55 | $113 | $1,180 |
| 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. |
54 | $143 | $1,170 |
| CT scan of lower spine, without contrast A computed tomography scan that creates detailed images of the lower spine using X-rays without the use of contrast dye. |
53 | $87 | $760 |
| 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. |
50 | $30 | $200 |
| 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. |
24 | $1,344 | $10,080 |
| 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. |
24 | $700 | $5,970 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
24 | $97 | $770 |
| 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. |
23 | $199 | $1,400 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
21 | $537 | $4,210 |
| 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. |
21 | $24 | $170 |
| 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. |
20 | $121 | $850 |
| MRI of lower spine with and without contrast An MRI scan of the lower spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
15 | $243 | $2,140 |
| 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. |
13 | $616 | $4,180 |
| Spinal stabilization device placement, 7-12 segments Surgical placement of a device to stabilize the back involving 7 to 12 spine bone segments. |
12 | $493 | $4,490 |
| CT scan of middle spine, without contrast A CT scan of the middle spine performed without the use of contrast dye. This imaging test uses X-rays to create detailed pictures of the vertebrae and surrounding structures. |
12 | $94 | $770 |
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. These counts do not measure clinical quality or years of experience.
6.6% high complexity
44.0% medium
49.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$395,590
Total received (2018-2024)
Avg $56,513/year across 7 years
Top 13% in FL for orthopaedic surgery of the spine physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
21
Companies
204
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$80,460
2023
$63,397
2022
$60,559
2021
$72,940
2020
$67,046
2019
$47,763
2018
$3,425
Payments by company (2024)
Hyhte Holdings Inc.
$50,033
Carlsmed, Inc.
$28,538
Globus Medical, Inc.
$1,254
Alphatec Spine, Inc
$390
DePuy Synthes Sales Inc.
$150
Cerapedics Inc.
$82
Boston Scientific Corporation
$14
Top 3 companies account for 99.2% of 2024 payments
All-time payments by company (2018-2024) ›
Hyhte Holdings Inc.
$330,619
Carlsmed, Inc.
$30,177
Centinel Spine, LLC
$23,263
Alphatec Spine, Inc
$3,366
Globus Medical, Inc.
$2,143
K2M, Inc.
$1,633
Stryker Corporation
$1,125
Medtronic, Inc.
$775
Medical Device Business Services, Inc.
$772
DePuy Synthes Sales Inc.
$441
Smith+Nephew, Inc.
$259
Integrity Implants Inc.
$217
Orthofix Medical, Inc.
$192
SI-BONE, Inc.
$165
Baxter Healthcare
$121
Innovation Technologies Inc
$113
Cerapedics Inc.
$82
Medtronic USA, Inc.
$71
Life Spine, Inc.
$22
Stimwave Technologies Incorporated
$18
Boston Scientific Corporation
$14
Top 3 companies account for 97.1% of all-time payments
Associated products mentioned in payments ›
ACIS · ANCHOR L · AQUAMANTYS · CASCADIA Interbody System · Cervical-Stim Osteogenesis Stimulator · DIVERGENCE-L · ESCALATE · EXCELSIUS GPS · EXPEDIUM · Excelsius - GPS · ExcelsiusGPS Robotic Navigation System · FIBERGRAFT · FLOSEAL · GIZA · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INFUSE BONE GRAFT · IdentiTi · Invictus MIS · Irrisept · KYPHON Balloon Kyphoplasty · MAKO · MIDLINE II-Ti · Masada · MazorX - Renaissance · Modulus · NEW PRODUCT DEVELOPMENT · NO ASSOCIATED PRODUCT · OASIS · Olympic · Other - Miscellaneous · PICO · PICO Single Use Negative Pressure Wound Therapy · PRODISC C · PRODISC L · PROLIFT · Physio-Stim Osteogenesis Stimulator · Pico 14 · SERRATO · SOVEREIGN SPINAL SYSTEM · STALIF C FLX · STALIF M FLX · Spinal-Stim Osteogenesis Stimulator · Spine · TRITANIUM · Teligen · XIA · aprevo · prodisc C Vivo
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Orthopaedic surgery of the spine physicians in nearby ZIP areas
23
County median income
$75,011
Nearest hospital to ZIP centroid (approximate)
TAMPA VA MEDICAL CENTER
5.3 mi
5.3 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | 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. Small is a clinical cardiology specialist, with above-average Medicare volume (top 12% in FL), with 21 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. Small experienced with mri contrast dye injection (gadobutrol)?
Based on Medicare claims data, Dr. Small performed 1,230 mri contrast dye injection (gadobutrol) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Small receive payments from pharmaceutical companies?
Yes. Dr. Small received a total of $395,590 from 21 companies across 204 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Small's costs compare to other orthopaedic surgery of the spine physicians in Temple Terrace?
Dr. Small's average Medicare payment per service is $74. 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. Small) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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Pharma Payments to Orthopaedic Surgery Of The Spine Physicians in FL
Which FL orthopaedic surgery of the spine physicians receive the most from drug and device companies.
By company
Hyhte Holdings Inc. Payments to Doctors
See all physicians who received payments from Hyhte Holdings Inc.
By company
Carlsmed, Inc. Payments to Doctors
See all physicians who received payments from Carlsmed, Inc.
By company
Centinel Spine, LLC Payments to Doctors
See all physicians who received payments from Centinel Spine, LLC.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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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