Adrian Smith, MD
Neurological Surgery · Owensboro, KYNPI 1538375076
Payments from drug & device makers
Across 23 payments — averaging $38.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$350
- Medtronic$113
- Johnson & Johnson$87
- Stryker$69
- Globus Medical$34
- Integra Lifesciences Corporation$31
- plus $192 from 9 others
What the payments were for
- Food & beverage$875100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Alphatec Spine, Inc | 3 | $350 |
| Medtronic | 3 | $113 |
| Johnson & Johnson(2 entities) | 3 | $87 |
| Stryker | 3 | $69 |
| Globus Medical | 1 | $34 |
| Integra Lifesciences Corporation | 1 | $31 |
| Amgen | 1 | $27 |
| Siemens Medical Solutions USA, Inc. | 1 | $27 |
| Chiesi USA, Inc. | 1 | $26 |
| AbbVie | 1 | $25 |
| Vertex | 1 | $21 |
| Nevro Corp. | 1 | $18 |
| Mimedx Group, Inc. | 1 | $16 |
| Zimmer Biomet | 1 | $16 |
| Neos Therapeutics, LP | 1 | $16 |
How this compares
$875 in reported general payments places this provider in the 30th percentile of 99 neurological surgery providers in Kentucky.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other neurological surgery in Owensboro
- Magdy OsmanSomerset$758K
- Justin FraserLexington$611K
- Tom YaoLouisville$609K
- Francis FarhadiLexington$588K
- David DornbosLexington$405K
- Joseph NeimatLouisville$392K
- Shervin DashtiLouisville$271K
- David SunLouisville$218K
- Maria KoutourousiouLouisville$189K
- Christian RamseyLexington$117K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.