Alexander Powers, MD
Neurological Surgery · Kernersville, NCNPI 1134397714
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,630,167 of the $1,713,405 with a category attached, or 95.1%. Stryker accounts for 83.0% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2019 at $380,121 and has fallen 80.4% since, to $74,584 in 2025. Among neurological surgery clinicians in NC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 375 payments — averaging $4569.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1.4M
- Globus Medical$271K
- Biedermann Motech, Inc.$8K
- Medacta USA, Inc.$7K
- Medtronic$2K
- Orthofix Medical, Inc.$926
- plus $2K from 19 others
What the payments were for
- Royalty or licence$1,630,16795%
- Consulting fees$57,4003%
- Speaking & faculty fees$4,0000%
- Travel & lodging$12,0331%
- Food & beverage$9,6061%
- Education$1980%
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 |
|---|---|---|
| Stryker | 82 | $1,422,831 |
| Globus Medical(2 entities) | 114 | $271,154 |
| Biedermann Motech, Inc. | 9 | $7,770 |
| Medacta USA, Inc. | 33 | $6,561 |
| Medtronic(2 entities) | 65 | $1,890 |
| Orthofix Medical, Inc. | 11 | $926 |
| Cerapedics Inc. | 4 | $425 |
| Boston Scientific | 23 | $405 |
| Si-bone, Inc. | 11 | $287 |
| Providence Medical Technology, Inc. | 3 | $274 |
| Abbott | 1 | $175 |
| Intrinsic Therapeutics | 3 | $173 |
| Carlsmed, Inc. | 1 | $92 |
| Restor3d, Inc. | 1 | $75 |
| Seaspine Orthopedics Corporation | 1 | $65 |
| Pacira Pharmaceuticals Incorporated | 2 | $53 |
| Arteriocyte Medical Systems, Inc. | 1 | $47 |
| Augmedics Inc. | 3 | $43 |
| Johnson & Johnson | 1 | $37 |
| SK Life Science, Inc. | 1 | $27 |
| Centinel Spine, LLC | 1 | $26 |
| Elevation Spine, Inc. | 1 | $21 |
| Alphatec Spine, Inc | 1 | $19 |
| DJO, LLC | 1 | $15 |
| ZOLL Services LLC (a/k/a ZOLL Lifecor Corp) | 1 | $13 |
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.
- SERRATO$1,378,510
- Hedron$144,664
- Hedron C$61,047
- HEDRON IC$60,964
- AIRO$19,073
- EVEREST SPINAL SYSTEM$13,913
- TRITANIUM$13,465
- XIA$13,303
- NAVIGATION$13,000
- MESA SPINAL SYSTEM$13,000
- ASCENTIAL ACP 1$7,150
- CAPRI CORPECTOMY CAGE SYSTEM$7,150
- ALEUTIAN CERVICAL$7,150
- MYSPINE$5,616
- MOSS VRS Spinal System$4,000
- Telix K Interbody System$1,800
- MOSS100 Pedicle Screw System$1,800
- MOSS VRS MIS Spinal System$1,800
- CREO$1,002
- TRIATHLON$922
How this compares
$1,713,405 in reported general payments places this provider in the 95th percentile of 196 neurological surgery providers in North Carolina.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 149 | $2,127 |
| Cyclobenzaprine Hcl | 148 | $1,392 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 62 | $1,127 |
| Tizanidine Hcl | 57 | $844 |
| Gabapentin | 43 | $567 |
| Tramadol Hcl | 26 | $429 |
| Oxycodone Hcl | 43 | $397 |
| Ciprofloxacin Hcl | 33 | $222 |
| Methylprednisolone | 26 | $184 |
| Diazepam | 36 | $174 |
| Meloxicam | 11 | $25 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Kernersville
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- John ThomasWilmington$1.8M
- Charles BranchAdvance$1.6M
- Paul KimCharlotte$1.5M
- William HunterGastonia$1.3M
- Kevin CahillSupply$1.1M
- Matthew McGirtCharlotte$693K
- Christopher HollandConcord$663K
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.