Charles Branch
Neurological Surgery · Advance, NCNPI 1821078403
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,522,775 of the $1,634,130 with a category attached, or 93.2%. Medtronic accounts for 96.6% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $1,065,682, more than ten times the $2,640 reported in 2019. 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 125 payments — averaging $13,073 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1.6M
- Olympus America Inc.$34K
- Alphatec Spine, Inc$21K
- Olympus Corporation Of The Americas$1K
- Bone Support Inc.$129
- Medical Device Business Services, Inc.$44
- plus $11 from 1 others
What the payments were for
- Royalty or licence$1,522,77593%
- Consulting fees$74,7315%
- Speaking & faculty fees$26,0852%
- Travel & lodging$7,6720%
- Food & beverage$2,8670%
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) | 82 | $1,578,454 |
| Olympus America Inc. | 27 | $33,546 |
| Alphatec Spine, Inc | 5 | $20,889 |
| Olympus Corporation Of The Americas | 8 | $1,059 |
| Bone Support Inc. | 1 | $129 |
| Medical Device Business Services, Inc. | 1 | $44 |
| Stryker | 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.
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$535,192
- ORBEYE SURGICAL MICROSCOPE$32,460
- Other - Miscellaneous$20,889
- ELEVATE$11,628
- SPACE-D SYSTEM 5.5/6.0 VOYAGER INSTRUMENT SET$4,070
- CD HORIZON$1,250
- ENDOSCOPIC SINUS SURGERY INSTRUMENT TRAY NO. 2 FOR OPERATIVE SET$604
- PERCEPT PC BRAINSENSE$459
- Olympus$245
- CERAMENTBONE VOID FILLER$129
How this compares
$1,634,130 in reported general payments places this provider in the 95th percentile of 196 neurological surgery providers in North Carolina.
Other neurological surgery in Advance
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- John ThomasWilmington$1.8M
- Alexander PowersKernersville$1.7M
- 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).
- Identity: NPPES NPI Registry, July 2026.