Andrew Cannestra
Neurological Surgery · Jacksonville, FLNPI 1659328029
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,072,656 of the $1,588,332 with a category attached, or 67.5%. Alphatec Spine, Inc accounts for 61.2% of it on its own, with 31 other manufacturers making up the rest. Among neurological surgery clinicians in FL 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 457 payments — averaging $3475.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$972K
- Spinal Elements, Inc.$254K
- Globus Medical$182K
- Mirus, LLC$128K
- Integrity Implants Inc.$20K
- Surgalign Spine Technologies, Inc.$16K
- plus $16K from 26 others
Across 52 payments — averaging $2375.31 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.
- Globus Medical$96K
- Spinal Elements, Inc.$27K
What the payments were for
- Royalty or licence$1,072,65668%
- Consulting fees$409,42926%
- Speaking & faculty fees$22,2661%
- Travel & lodging$66,5204%
- Food & beverage$17,3091%
- Education$650%
- Entertainment$870%
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 | 112 | $972,322 |
| Spinal Elements, Inc. | 41 | $254,200 |
| Globus Medical(2 entities) | 150 | $181,582 |
| Mirus, LLC | 7 | $127,597 |
| Integrity Implants Inc. | 52 | $20,187 |
| Surgalign Spine Technologies, Inc. | 17 | $16,109 |
| Cerapedics Inc. | 18 | $10,421 |
| Medtronic(2 entities) | 13 | $1,572 |
| MML US, Inc. | 6 | $767 |
| Neo Spine USA, Inc. | 1 | $750 |
| Xtant Medical Inc | 5 | $533 |
| Integrity Implants Inc. Dba Accelus | 1 | $500 |
| Johnson & Johnson | 6 | $442 |
| Zimmer Biomet | 6 | $323 |
| Orthofix Medical, Inc. | 3 | $308 |
| Intrinsic Therapeutics | 1 | $192 |
| Genesys Orthopedics Systems, L.L.C. | 1 | $130 |
| Prosidyan, Inc | 1 | $93 |
| UCB, Inc. | 2 | $40 |
| Portola Pharmaceuticals, LLC | 2 | $32 |
| Baxter Healthcare | 1 | $31 |
| Centinel Spine, LLC | 1 | $27 |
| Axogen | 1 | $26 |
| Clariance, Inc. | 1 | $24 |
| Zimvie Inc. | 1 | $18 |
| Acelrx Pharmaceuticals, Inc. | 1 | $17 |
| AstraZeneca | 1 | $17 |
| Irras USA, Inc. | 1 | $16 |
| Smith+Nephew | 1 | $14 |
| Theragen, Inc. | 1 | $14 |
| Silk Road Medical, Inc. | 1 | $13 |
| Brainlab, Inc. | 1 | $11 |
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.
- SafeOp$617,676
- Other - Miscellaneous$231,066
- EUROPA Pedicle Screw System$127,582
- CYGNUS Anterior Cervical Plate$127,582
- KARMA$94,861
- MLX$88,456
- Medical Device$62,658
- LUCENT LATERAL$50,368
- KODIAK$30,818
- Modulus$22,930
- Medical Devices$19,000
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$16,633
- KATANA$15,908
- UNISON-C ANTERIOR CERVICAL FIXATION SYSTEM$15,884
- XLIF$15,760
- Lateral$11,250
- FlareHawk$10,453
- TLIF$4,216
- Solus$1,000
- REMI$1,000
How this compares
$1,588,332 in reported general payments places this provider in the 95th percentile of 556 neurological surgery providers in Florida.
Other neurological surgery in Jacksonville
- Stephen ParkerJacksonville$18.7M
- Ricardo HanelJacksonville$1.2M
- Eric NottmeierJacksonville$959K
- Ali ChahlaviJacksonville$855K
- Bernard GuiotJacksonville$269K
- Adam PolifkaJacksonville$227K
- Javier Garcia-BengocheaJacksonville$201K
- Bradley WallaceJacksonville$169K
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.