Alain Fabi, MD
Neurological Surgery · Kalamazoo, MINPI 1760462121
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,129 of the $3,375 with a category attached, or 63.1%. VB Spine LLC accounts for 76.9% of it on its own, with 5 other manufacturers making up the rest. 2025 is the largest year on record at $2,616, more than ten times the $134 reported in 2019. That places this record below the midpoint for neurological surgery clinicians in MI, where the typical reported total is $2,563.
Across 56 payments — averaging $60.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- VB Spine LLC$3K
- Stryker$366
- Abbott$345
- Medtronic$27
- Globus Medical$22
- CSL Behring$20
Across 34 payments — averaging $4323.10 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Premia Spine, Ltd.$125K
- Pacira Pharmaceuticals Incorporated$12K
- Spineology Inc.$10K
What the payments were for
- Travel & lodging$2,12963%
- Food & beverage$1,22636%
- Education$201%
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 |
|---|---|---|
| VB Spine LLC | 21 | $2,594 |
| Stryker | 6 | $366 |
| Abbott | 26 | $345 |
| Medtronic | 1 | $27 |
| Globus Medical | 1 | $22 |
| CSL Behring | 1 | $20 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$3,375 in reported general payments places this provider in the 50th percentile of 256 neurological surgery providers in Michigan.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OxycontinOxycodone Hcl | 24 | $4,553 |
| Gabapentin | 141 | $1,228 |
| Oxycodone Hcl | 103 | $722 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 110 | $675 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 41 | $393 |
| Methocarbamol | 41 | $196 |
| Methylprednisolone | 26 | $166 |
| Cyclobenzaprine Hcl | 31 | $101 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Kalamazoo
- Hunter BrumblayKalamazoo$60K
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Vittorio MorrealeShelby Twp$439K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
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.