Cary Idler, MD
Orthopaedic Surgery of the Spine · Raleigh, NCNPI 1578784591
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.6%), royalties or licence payments and education — rather than concentrated in one kind of arrangement. It is spread thinly across 35 manufacturers, the largest accounting for just 23.2%. Reporting peaked in 2023 at $8,283 and has fallen 54.4% since, to $3,781 in 2025.
Across 341 payments — averaging $97.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nevro Corp.$8K
- Corelink, LLC$6K
- Alphatec Spine, Inc$4K
- Abbott$3K
- Globus Medical$3K
- Medical Device Business Services, Inc.$3K
- plus $7K from 29 others
What the payments were for
- Royalty or licence$5,68717%
- Consulting fees$2,7008%
- Travel & lodging$4,70214%
- Food & beverage$15,13746%
- Education$4,97815%
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 |
|---|---|---|
| Nevro Corp. | 34 | $7,702 |
| Corelink, LLC | 6 | $5,687 |
| Alphatec Spine, Inc | 18 | $3,718 |
| Abbott | 116 | $3,239 |
| Globus Medical(2 entities) | 23 | $2,873 |
| Medical Device Business Services, Inc. | 2 | $2,700 |
| Boston Scientific | 33 | $1,909 |
| Biotronik NRO, Inc. | 13 | $1,360 |
| Medtronic(2 entities) | 22 | $1,090 |
| Si-bone, Inc. | 16 | $719 |
| Johnson & Johnson(3 entities) | 13 | $480 |
| Intrinsic Therapeutics | 2 | $307 |
| Providence Medical Technology, Inc. | 4 | $207 |
| Terumo BCT, Inc. | 2 | $193 |
| Spineart USA Inc | 1 | $160 |
| Kinex Medical Company LLC | 2 | $133 |
| Radius Health, Inc. | 4 | $105 |
| Vertex | 4 | $95 |
| Bioventus LLC | 4 | $87 |
| Pacira Therapeutics, Inc. | 3 | $71 |
| Vericel Corporation | 2 | $50 |
| Surgalign Spine Technologies, Inc. | 1 | $49 |
| Daiichi Sankyo Inc. | 2 | $45 |
| Elutia, Inc. | 2 | $32 |
| Acelrx Pharmaceuticals, Inc. | 2 | $29 |
| Sanofi-aventis U.S. LLC | 1 | $24 |
| Baudax Bio Inc. | 1 | $18 |
| Davol Inc. | 1 | $16 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $16 |
| Orthofix Medical, Inc. | 1 | $16 |
| AbbVie | 1 | $16 |
| Avanos Medical | 1 | $16 |
| Heron Therapeutics, Inc. | 1 | $15 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| IBSA Pharma Inc. | 1 | $14 |
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.
- Senza$7,120
- Other - Miscellaneous$3,038
- CONDUIT$1,800
- Prospera$1,101
- Excelsius - GPS$987
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$613
- Proclaim IPG$407
- GENERAL PAIN MANAGEMENT$402
- ETERNA$316
- Proclaim Family of SCS IPGs$282
- INTELLIS ADAPTIVESTIM$271
- Senza Spinal Cord Stimulation System$253
- WaveWriter Alpha Prime 16$234
- Excelsius3D Imaging System$168
- Perla TL$160
- SYMPHONY$159
- Sable$144
- INCEPTIV$143
- Bone Marrow Aspirate Concentrate System$132
- GENERAL - THERAPIES$131
How this compares
$33,203 in reported general payments places this provider in the 60th percentile of 32 orthopaedic surgery of the spine providers in North Carolina.
See all orthopaedic surgery of the spine 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 |
|---|---|---|
| Tizanidine Hcl | 208 | $2,605 |
| Gabapentin | 311 | $2,554 |
| Methylprednisolone | 112 | $682 |
| Cyclobenzaprine Hcl | 34 | $374 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 46 | $352 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 37 | $344 |
| Methocarbamol | 39 | $310 |
| Baclofen | 20 | $260 |
| Meloxicam | 89 | $215 |
| Oxycodone Hcl | 15 | $119 |
| Celecoxib | 11 | $78 |
| Tramadol Hcl | 24 | $67 |
| Trazodone Hcl | 11 | $45 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Raleigh
- Conor ReganRaleigh$149K
- Ryan GentryRaleigh$39K
- Paul SuhRaleigh$16K
- Peter PassiasDurham$553K
- Daniel WilliamsPinehurst$443K
- Alexander LemonsPinehurst$389K
- Daniel CavanaughChapel Hill$246K
- Olumide DanisaDurham$198K
- Michael MooreGreensboro$83K
- Phillip HorneCary$45K
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.