Total Payments
$21,600
2024 Payments
$9,708
Companies
22
Transactions
267
Medicare Patients
2,478
Medicare Billing
$308,170

Payment Breakdown by Category

Food & Beverage$10,138 (46.9%)
Travel$9,032 (41.8%)
Consulting$2,324 (10.8%)
Education$106.03 (0.5%)
Other$0.00 (0.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $10,138 233 46.9%
Travel and Lodging $9,032 31 41.8%
Consulting Fee $2,324 1 10.8%
Education $106.03 2 0.5%

Top Paying Companies

Company Total Records Latest Year
Stryker Corporation $8,358 137 $0 (2024)
Alphatec Spine, Inc $6,284 27 $0 (2024)
DePuy Synthes Products, Inc. $2,580 3 $0 (2023)
Medtronic, Inc. $898.42 19 $0 (2024)
DePuy Synthes Sales Inc. $833.32 23 $0 (2024)
Medtronic USA, Inc. $577.36 17 $0 (2018)
Spine Wave, Inc. $371.67 11 $0 (2020)
K2M, Inc. $273.06 4 $0 (2018)
LifeNet Health $255.61 3 $0 (2024)
Abbott Laboratories $246.54 4 $0 (2024)

Payment History by Year

Year Amount Transactions Top Company
2024 $9,708 70 Alphatec Spine, Inc ($6,284)
2023 $3,601 31 DePuy Synthes Products, Inc. ($2,580)
2022 $680.92 17 Stryker Corporation ($403.52)
2021 $3,346 49 Stryker Corporation ($3,145)
2020 $941.48 32 Stryker Corporation ($780.78)
2019 $1,974 41 Stryker Corporation ($1,585)
2018 $1,077 14 Stryker Corporation ($444.82)
2017 $270.02 13 Medtronic USA, Inc. ($218.41)

All Payment Transactions

267 individual payment records from CMS Open Payments — Page 1 of 11

Date Company Product Nature Form Amount Type
12/24/2024 Stryker Corporation NAPA (Device) Food and Beverage In-kind items and services $60.22 General
Category: SPINE
12/19/2024 Alphatec Spine, Inc Other - Miscellaneous (Device) Food and Beverage In-kind items and services $21.34 General
Category: Orthopedics/Orthopedic Surgery
12/11/2024 Stryker Corporation Travel and Lodging Cash or cash equivalent $526.39 General
12/09/2024 Alphatec Spine, Inc Food and Beverage In-kind items and services $20.79 General
11/25/2024 Medtronic, Inc. ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY (Device) Food and Beverage In-kind items and services $10.85 General
Category: TL
11/14/2024 ABBVIE INC. BOTOX (Biological) Food and Beverage In-kind items and services $27.68 General
Category: BOTOX THERAPEUTIC
10/28/2024 Medtronic, Inc. MAZOR X SYSTEM (Device) Food and Beverage In-kind items and services $149.75 General
Category: Image Guided Surgery Products
10/23/2024 Alphatec Spine, Inc Other - Miscellaneous (Device) Food and Beverage In-kind items and services $102.62 General
Category: Orthopedics/Orthopedic Surgery
10/22/2024 Stryker Corporation CAPRI CORPECTOMY CAGE SYSTEM (Device) Food and Beverage In-kind items and services $21.69 General
Category: SPINE
10/16/2024 OssDsign Incorporated OssDsign Catalyst (Device) Food and Beverage Cash or cash equivalent $117.45 General
Category: Bone Void Filler
10/09/2024 Abbott Laboratories PROCLAIM (Device) Food and Beverage In-kind items and services $29.18 General
Category: Neuromodulation
09/30/2024 Alphatec Spine, Inc Food and Beverage In-kind items and services $23.89 General
09/27/2024 Medtronic, Inc. MIDAS REX (Device) Food and Beverage In-kind items and services $57.58 General
Category: High Speed Surgical Drills and Tools
09/03/2024 Alphatec Spine, Inc Solus ALIF (Device) Travel and Lodging In-kind items and services $33.91 General
Category: Orthopedics/Orthopedic Surgery
09/03/2024 Alphatec Spine, Inc Solus ALIF (Device) Food and Beverage In-kind items and services $26.85 General
Category: Orthopedics/Orthopedic Surgery
08/29/2024 Stryker Corporation Travel and Lodging Cash or cash equivalent $169.86 General
08/27/2024 Stryker Corporation SPINEMASK (Device) Food and Beverage In-kind items and services $171.67 General
Category: NAVIGATION
08/27/2024 Stryker Corporation N/A (Device) Food and Beverage In-kind items and services $23.47 General
Category: NAVIGATION
08/27/2024 Stryker Corporation NAPA (Device) Food and Beverage In-kind items and services $14.98 General
Category: SPINE
08/26/2024 Stryker Corporation Food and Beverage In-kind items and services $33.46 General
08/22/2024 ABBVIE INC. BOTOX (Biological) Food and Beverage In-kind items and services $7.32 General
Category: BOTOX THERAPEUTIC
08/20/2024 DePuy Synthes Sales Inc. VIPER (Device) Food and Beverage In-kind items and services $63.71 General
Category: Spine
08/01/2024 Alphatec Spine, Inc Travel and Lodging In-kind items and services $950.90 General
07/30/2024 Alphatec Spine, Inc Invictus OPEN (Device) Food and Beverage In-kind items and services $210.56 General
Category: Orthopedics/Orthopedic Surgery
07/30/2024 Kuros Biosciences USA, Inc MAGNETOS (Device) Food and Beverage In-kind items and services $141.51 General
Category: SYNTHETIC BONE GRAFT

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 13 594 777 $263,663 $66,278
2022 16 629 1,003 $449,086 $96,759
2021 12 580 938 $220,454 $67,253
2020 14 675 1,026 $321,724 $77,880
Total Patients
2,478
Total Services
3,744
Medicare Billing
$308,170
Procedure Codes
58

All Medicare Procedures & Services

58 procedure records from CMS Medicare Utilization — Page 1 of 3

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 183 290 $70,076 $27,452 39.2%
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes Facility 2023 61 61 $17,475 $5,922 33.9%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 72 84 $15,635 $5,523 35.3%
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion Facility 2023 14 21 $58,248 $4,277 7.3%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2023 28 29 $9,515 $4,076 42.8%
72082 X-ray of entire middle and lower spine, 2-3 views Office 2023 74 74 $26,270 $3,909 14.9%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 47 47 $14,362 $3,873 27.0%
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes Facility 2023 33 58 $9,930 $3,639 36.6%
61783 Computer-assisted spinal procedure Facility 2023 12 12 $21,870 $2,194 10.0%
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes Facility 2023 14 14 $5,648 $1,847 32.7%
76120 Imaging of organ Office 2023 16 16 $5,200 $1,451 27.9%
72100 X-ray of lower and sacral spine, 2-3 views Office 2023 22 43 $5,934 $1,316 22.2%
72040 X-ray of upper spine, 2-3 views Office 2023 18 28 $3,500 $798.20 22.8%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 169 297 $71,280 $29,783 41.8%
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment Facility 2022 11 13 $79,365 $10,321 13.0%
99232 Follow-up hospital inpatient care per day, typically 25 minutes Facility 2022 44 144 $24,525 $8,171 33.3%
22840 Placement of stabilizing device to back of 1 spine bone in neck Facility 2022 13 13 $62,075 $7,893 12.7%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2022 79 79 $24,095 $6,708 27.8%
99222 Initial hospital inpatient care per day, typically 50 minutes Facility 2022 49 51 $14,690 $5,481 37.3%
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion Facility 2022 17 23 $63,250 $4,751 7.5%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 56 61 $11,405 $4,354 38.2%
61783 Computer-assisted spinal procedure Facility 2022 20 22 $39,600 $4,089 10.3%
99215 Established patient office or other outpatient visit, 40-54 minutes Office 2022 28 29 $9,425 $3,618 38.4%
72082 X-ray of entire middle and lower spine, 2-3 views Office 2022 49 50 $17,750 $2,885 16.3%
99223 Initial hospital inpatient care per day, typically 70 minutes Facility 2022 17 17 $6,800 $2,524 37.1%

About Dr. Alexander Gamble, DO

Dr. Alexander Gamble, DO is a Student in an Organized Health Care Education/Training Program healthcare provider based in Bedford, New Hampshire. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 03/18/2011. The National Provider Identifier (NPI) number assigned to this provider is 1518266410.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Alexander Gamble, DO has received a total of $21,600 in payments from pharmaceutical and medical device companies, with $9,708 received in 2024. These payments were reported across 267 transactions from 22 companies. The most common payment nature is "Food and Beverage" ($10,138).

As a Medicare-enrolled provider, Gamble has provided services to 2,478 Medicare beneficiaries, totaling 3,744 services with total Medicare billing of $308,170. Data is available for 4 years (2020–2023), covering 58 distinct procedure/service records.

Practice Information

Products in Payments

  • Other - Miscellaneous (Device) $4,345
  • GENERAL K2M PRODUCT DISCUSSION (Device) $795.42
  • XIA (Device) $375.00
  • CASCADIA INTERBODY SYSTEM (Device) $282.26
  • Spinal Implants (Device) $264.03
  • Allograft VMIS Delivery System (Device) $255.61
  • LATERAL ACCESS SPINAL SYSTEM (Device) $250.81
  • CD HORIZON (Device) $240.81
  • EVEREST XT (Device) $237.90
  • Invictus OPEN (Device) $210.56
  • EVEREST Spinal System (Device) $209.98
  • Spine & Trauma 3D Navigation (Device) $189.21
  • SPINEMASK (Device) $187.98
  • CASCADIA (Device) $180.45
  • STEALTHSTATION S8 PLATFORM (Device) $173.72
  • ELEVATE (Device) $172.04
  • Solus ALIF (Device) $168.76
  • EVEREST SPINAL SYSTEM (Device) $157.05
  • NAPA (Device) $156.31
  • MAZOR X SYSTEM (Device) $149.75

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Student in an Organized Health Care Education/Training Program Doctors in Bedford