Brenton Pennicooke, MD
Neurological Surgery · Saint Peters, MONPI 1093093064
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (38.4%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 22.7%. Reporting peaked in 2022 at $7,986 and has fallen 95.5% since, to $360 in 2025.
Across 119 payments — averaging $172.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$5K
- Pacira Pharmaceuticals Incorporated$4K
- Cerapedics Inc.$4K
- Alphatec Spine, Inc$3K
- Medtronic$3K
- Baxter Healthcare$378
- plus $2K from 12 others
What the payments were for
- Consulting fees$5,15025%
- Travel & lodging$7,86538%
- Food & beverage$7,37136%
- Education$990%
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 |
|---|---|---|
| Globus Medical(2 entities) | 30 | $4,657 |
| Pacira Pharmaceuticals Incorporated | 2 | $3,802 |
| Cerapedics Inc. | 19 | $3,616 |
| Alphatec Spine, Inc | 9 | $3,344 |
| Medtronic(2 entities) | 33 | $2,948 |
| Baxter Healthcare | 5 | $378 |
| Kuros Biosciences USA, Inc | 4 | $248 |
| Johnson & Johnson(2 entities) | 2 | $212 |
| Stryker | 2 | $208 |
| Kalitec Direct LLC | 1 | $187 |
| Centinel Spine, LLC | 2 | $170 |
| Aesculap Implant Systems, LLC | 1 | $140 |
| Bioventus LLC | 2 | $134 |
| Orthofix Medical, Inc. | 1 | $132 |
| Medical Device Business Services, Inc. | 1 | $122 |
| Augmedics Inc. | 1 | $100 |
| Elite Orthopedics, LLC | 3 | $61 |
| Solventum Corporation | 1 | $27 |
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.
- EXPAREL$3,802
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$3,199
- Other - Miscellaneous$2,747
- Pulse$1,737
- FORTIFY$1,172
- CD HORIZON$655
- CD HORIZON SPINAL SYSTEM$313
- RELINE$264
- VIPER$177
- UNID_PASS$156
- Solanas$156
- Iovera$152
- PRODISC C VIVO$151
- ELSA AL$145
- ACTIVL$140
- M6-C Artificial Cervical Disc$132
- Modulus$128
- INFINITY OCT System$128
- O-ARM-Spine$115
- EVEREST SPINAL SYSTEM$108
How this compares
$20,486 in reported general payments places this provider in the 80th percentile of 172 neurological surgery providers in Missouri.
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 | 44 | $564 |
| Cyclobenzaprine Hcl | 40 | $407 |
| Oxycodone Hcl | 43 | $312 |
| Mupirocin | 36 | $264 |
| Tizanidine Hcl | 29 | $251 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $188 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Saint Peters
- Andrew YoukilisSaint Peters$11K
- Neill WrightSaint Louis$1.1M
- Wilson RaySaint Louis$586K
- Carlos BagleyKansas City$532K
- Kaywan GamadiaCape Girardeau$458K
- Camilo MolinaSaint Louis$412K
- Paul SantiagoSaint Louis$368K
- Daniel ScodarySaint Louis$278K
- Daniel HafezSaint Louis$273K
- John OgunladeSaint Louis$220K
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.