Medicare Enrolled

Dr. John Small, MD

Orthopaedic Surgery of the Spine Physician · Temple Terrace, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Mixed engagement
13020 N TELECOM PKWY, Temple Terrace, FL 33637
8139789700
In practice since 2005 (20 years)
NPI: 1144227364 verify on NPPES ↗
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 →
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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 20 years in practice. Based on federal Medicare data, Dr. Small performed 3,604 Medicare services across 1,910 unique beneficiaries.

Between the years covered by Open Payments, Dr. Small received a total of $395,590 from 21 pharmaceutical and/or device companies across 204 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. 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. Small is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 12% volume in FL$ $395,590 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,604
Medicare services
Top 12% in FL for orthopaedic surgery of the spine physician
1,910
Unique beneficiaries
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~180 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.

ProcedureVolumeAvg. paidAvg. submitted
MRI contrast dye injection (gadobutrol)1,230$0$3
Office visit, established patient (20-29 min)418$68$460
X-ray of lower and sacral spine, 2-3 views212$30$199
Office visit, established patient (30-39 min)208$98$640
X-ray of entire middle and lower spine, 2-3 views176$53$350
X-ray of pelvis, 1-2 views151$21$140
Office visit, established patient (10-19 min)144$42$290
Fusion of additional segment of spine134$231$2,160
Mri scan of lower spinal canal without contrast129$145$1,170
X-ray of upper spine, 4-5 views94$39$270
X-ray of lower and sacral spine, minimum of 4 views91$37$260
New patient office visit (30-44 min)72$80$570
Mri scan of upper spinal canal without contrast67$136$1,100
Insertion of cage or mesh device to spine bone and disc space during spine fusion57$194$1,430
Mri scan of middle spinal canal without contrast55$113$1,180
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment54$143$1,170
Ct scan of lower spine without contrast53$87$760
X-ray of upper spine, 2-3 views50$30$200
Fusion of spine in lower back with partial removal of spine bone and disc24$1,344$10,080
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment24$700$5,970
Ct scan of upper spine without contrast24$97$770
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back23$199$1,400
Placement of stabilizing device to back, 3-6 spine bone segments21$537$4,210
X-ray of middle spine, 2 views21$24$170
New patient office visit (45-59 min)20$121$850
Mri scan of lower spinal canal before and after contrast15$243$2,140
Placement of stabilizing device to back of 1 spine bone in neck13$616$4,180
Placement of stabilizing device to back, 7-12 spine bone segments12$493$4,490
Ct scan of middle spine without contrast12$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. A higher procedure volume generally indicates more experience with that procedure.
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
21
Companies
204
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
$330,619 (83.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$51,274 (13.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,064 (3.0%)
Scientific / Research
Research funding and grants
$1,633 (0.4%)

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)

Consulting
Speaking
Meals & Travel
Research
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 total 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? 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.

Equivalent to $10,976 per 100 Medicare services performed
Looking for a orthopaedic surgery of the spine physician in Temple Terrace?
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Geographic Context

Orthopaedic Surgery of the Spine Physicians within 10 mi
23
Per 100K population
1.5
County median income
$75,011
Nearest hospital
TAMPA VA MEDICAL CENTER
5.3 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Small is a clinical cardiology specialist, with above-average Medicare volume (top 12% in FL), and high industry engagement (mixed engagement, top 13%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. 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. 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. Small receive payments from pharmaceutical companies?
Yes. Dr. Small received a total of $395,590 from 21 companies across 204 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. 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 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 →
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. The Transparency Score measures 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →