Alan Appley, MD
Neurological Surgery · Lafayette, LANPI 1306891320
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.7%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Mirus, LLC accounts for 64.3% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $6,504 and has fallen 97.4% since, to $166 in 2024.
Across 61 payments — averaging $136.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mirus, LLC$5K
- Medtronic$2K
- Stryker$480
- Centinel Spine, LLC$294
- NICO Corporation$214
- Alphatec Spine, Inc$188
- plus $246 from 7 others
What the payments were for
- Consulting fees$4,88559%
- Travel & lodging$98212%
- Food & beverage$2,46030%
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 |
|---|---|---|
| Mirus, LLC | 8 | $5,356 |
| Medtronic(2 entities) | 36 | $1,550 |
| Stryker | 4 | $480 |
| Centinel Spine, LLC | 2 | $294 |
| NICO Corporation | 2 | $214 |
| Alphatec Spine, Inc | 2 | $188 |
| Orthofix Medical, Inc. | 1 | $73 |
| Biocomposites Inc | 1 | $50 |
| Nanohive Medical LLC | 1 | $43 |
| Aesculap, Inc. | 1 | $36 |
| Si-bone, Inc. | 1 | $19 |
| Globus Medical | 1 | $15 |
| Brainlab, Inc. | 1 | $9 |
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.
- EUROPA Pedicle Screw System$5,252
- CYGNUS Anterior Cervical Plate$5,252
- StealthStation$510
- PRODISC C$294
- ACTIVA PC$250
- ACTIVA$202
- ALIF PLATE$146
- SERRATO$142
- LIF$128
- NEW PRODUCT DEVELOPMENT$120
- NICO AUTOMATED PRESERVATION SYSTEM$116
- NICO BRAINPATH$116
- NICO MENIGLIDE$116
- NICO SECUREHOLD$116
- NICO FLUID SYSTEM$116
How this compares
$8,328 in reported general payments places this provider in the 60th percentile of 116 neurological surgery providers in Louisiana.
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 |
|---|---|---|
| Gabapentin | 130 | $1,675 |
| Levetiracetam | 21 | $306 |
| Methocarbamol | 23 | $91 |
| Tizanidine Hcl | 18 | $81 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lafayette
- Jason CormierLafayette$178K
- Jayme TrahanLafayette$68K
- Ahmad ElakilLafayette$12K
- Saul Morales ValeroLafayette$9K
- Todd FountainLafayette$6K
- Ilyas MunshiLafayette$5K
- Anthony SinShreveport$1.5M
- Sebastian KogaHammond$720K
- Eric OberlanderBaton Rouge$660K
- Najeeb ThomasMetairie$440K
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.