LinkedInXFacebook
Subscribe
Orthopedics This Week
  • My Feed
  • |Posts
  • |Events
  • |MSK Innovations
  • |Power Rankings
  • |Masterclasses
  • |Technology Awards
  • Press Releases
  • |Advertising
  • |Job Board
  • Spine
  • ◆Joints
  • ◆Upper Extremities
  • ◆Foot & Ankle
  • ◆Sports Medicine
  • ◆Pain Mgmt
  • ◆Trauma
  • ◆Biologics
  • ◆Technology
  • ◆People
  • ◆Company News
  • ◆Legal & Regulatory
Home/Legal & Regulatory and Reimbursement/Ortho Surgeon Sentenced to 2+ Years for Spinal Cap Scheme
Legal & Regulatory and Reimbursement

Ortho Surgeon Sentenced to 2+ Years for Spinal Cap Scheme

July 26, 2023 1 min read Premium comments

Advertisement

Ortho Surgeon Sentenced to 2+ Years for Spinal Cap Scheme
Source: Unsplash and Emiliano Bar
#spineSecondarySpinal Cap

An Orange County orthopedic surgeon has been sentenced for his role in the “Spinal Cap” kickback scheme.

Orthopedic surgeon David Hobart Payne, M.D. was sentenced to 33 months in federal prison. He was also ordered to pay a fine of $20,000, and to forfeit $316,597 in ill-gotten gains.

Earlier this year a federal jury found Dr. Payne guilty of accepting over $315,000 in bribes and kickbacks. Dr. Payne was found guilty of one count of conspiracy, two counts of honest services wire fraud, and one count of use of an interstate facility in aid of bribery.

The Spinal Cap scheme involved a number of other individuals including Michael Drobot. Drobot owned Long Beach, California-based Pacific Hospital. Per the Department of Justice press release, Drobot conspired with “doctors, chiropractors, and marketers to pay kickbacks and bribes in return for the referral of patients to Pacific Hospital for spinal surgeries and other medical services.” In the last five years of the scheme, over $500 million in spinal surgery medical bills involving kickbacks were submitted. Drobot paid Dr. Payne bribes of “up to $15,000 for each spinal surgery that he performed at Pacific Hospital.”

In a sentencing memorandum, prosecutors wrote, “Bribe schemes like [Dr. Payne’s] cause an insidious harm that lingers for years, leaving victim-patients wondering whether their surgeries were necessary or whether the unethical doctors and hospital executives who treated them as commodities also agreed to implant substandard medical hardware in their bodies.”

To this date, 24 people have been convicted for their roles in the Spinal Cap scheme. For OTW’s previous coverage of the Spinal Cap scheme, see “Ortho Surgeon Convicted In ‘Spinal Cap’ Scheme,” “Accountant Sentenced in Spine Surgery Kickback Scheme,” “Ortho Surgeon Sentenced To 15 Months in Prison,” “The Taxman Cometh for Spinal Cap Crooks,” “Spine Surgeons Pleading Guilty in Spinal Cap Investigation,” and “More Cases Emerge From FBI’s California ‘Spinal Cap’ Investigation.”

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

Join the conversation

Orthopedic professionals are discussing this. Sign in and upgrade to read every comment and add your voice.

Subscribe

Get Full Access

Read every OTW article and join member discussions for $24.99/month.

Get Full Access

Advertisement

Advertisement

Advertisement

Orthopedics This Week

The most trusted source in orthopedic industry news since 2005. Covering spine, joints, trauma, biologics, and the business of orthopedics.

A publication of RRY Publications, LLC

LinkedInXFacebook

Categories

  • Spine
  • Joints
  • Upper Extremities
  • Foot & Ankle
  • Sports Medicine
  • Pain Mgmt
  • Trauma
  • Biologics
  • Technology
  • People
  • Company News
  • Legal & Regulatory

Resources

  • Subscribe
  • Community Posts
  • Job Board
  • Press Release Opportunities
  • Power Rankings
  • About OTW
  • Advertise
  • Contact Us

Get Full Access

Unlimited articles, community posts, and Power Rankings.

Get Full Access

Plans start at $24.99/mo · Annual saves 20%

© 2026 Orthopedics This Week · RRY Publications, LLC

Privacy PolicyTerms of ServiceCookie Policy