Carter Beck, MD
Neurological Surgery · Missoula, MTNPI 1225022023
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $215,775 of the $271,649 with a category attached, or 79.4%. Medtronic accounts for 100.0% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2019 at $128,508 and has fallen 99.7% since, to $326 in 2025. Among neurological surgery clinicians in MT 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 53 payments — averaging $5125.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$272K
- Baxter Healthcare$22
What the payments were for
- Royalty or licence$215,77579%
- Consulting fees$7,9883%
- Speaking & faculty fees$33,15012%
- Travel & lodging$13,8905%
- Food & beverage$8460%
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 |
|---|---|---|
| Medtronic(2 entities) | 52 | $271,628 |
| Baxter Healthcare | 1 | $22 |
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.
- RIALTO$241,258
- CLYDESDALE$12,215
- RIALTO SI FUSION SYSTEM$3,850
- O-ARM$115
- MAZOR X SYSTEM$110
How this compares
$271,649 in reported general payments places this provider in the 95th percentile of 31 neurological surgery providers in Montana.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 43 | $699 |
| Methocarbamol | 46 | $186 |
| Gabapentin | 19 | $109 |
| Meloxicam | 16 | $35 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Missoula
- David SlottjeMissoula$593
- Kenneth BrewingtonMissoula$218
- Anthony RussellMissoula$172
- Chriss MackMissoula$114
- Raymond TurnerBillings$1.3M
- Marlin RichardsonBillings$35K
- Stuart GoodmanBillings$14K
- Richard DayHamilton$9K
- Louis RossBillings$9K
- Jeffrey HakimBillings$9K
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.