Christopher Dibble, MD
Neurological Surgery · Winston Salem, NCNPI 1518348655
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (51.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Globus Medical accounts for 66.6% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2022 at $58,798 and has fallen 93.8% since, to $3,659 in 2025.
Across 345 payments — averaging $273.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$63K
- Medtronic$8K
- Alphatec Spine, Inc$7K
- Medical Device Business Services, Inc.$5K
- Stryker$4K
- Johnson & Johnson$2K
- plus $5K from 15 others
What the payments were for
- Consulting fees$9301%
- Grants$48,15051%
- Travel & lodging$27,88630%
- Food & beverage$17,23118%
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) | 94 | $62,731 |
| Medtronic(2 entities) | 95 | $8,347 |
| Alphatec Spine, Inc | 7 | $6,661 |
| Medical Device Business Services, Inc. | 25 | $5,358 |
| Stryker | 33 | $4,250 |
| Johnson & Johnson | 27 | $1,953 |
| Baxter Healthcare | 10 | $894 |
| Si-bone, Inc. | 11 | $767 |
| Piedmont Plus Innovation | 7 | $642 |
| Axogen | 7 | $597 |
| Spine Wave, Inc. | 5 | $487 |
| Augmedics Inc. | 8 | $331 |
| Integra Lifesciences Corporation | 4 | $287 |
| Arthrex | 3 | $205 |
| Highridge Medical LLC | 1 | $176 |
| Orthofix Medical, Inc. | 3 | $135 |
| Medacta USA, Inc. | 1 | $124 |
| Bioventus LLC | 1 | $93 |
| Kuros Biosciences USA, Inc | 1 | $58 |
| Cerapedics Inc. | 1 | $57 |
| Providence Medical Technology, Inc. | 1 | $44 |
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.
- Other - Miscellaneous$6,312
- XLIF$3,453
- XIA$1,844
- CD HORIZON SPINAL SYSTEM$1,726
- ALTERA$1,627
- UNID_PASS$1,423
- Teligen$1,223
- MARS 3VL Retractor$1,127
- RISE$1,090
- MAZOR X SYSTEM$1,085
- SERRATO$954
- TRITANIUM$949
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$878
- FORTIFY$853
- AERO$831
- ES2$831
- Excelsius3D Imaging System$805
- ExcelsiusGPS Robotic Navigation System$689
- SYMPHONY$635
- CORE$570
How this compares
$94,196 in reported general payments places this provider in the 85th percentile of 196 neurological surgery 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 |
|---|---|---|
| Gabapentin | 13 | $92 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Winston Salem
- Adrian LaxtonWinston Salem$55K
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- John ThomasWilmington$1.8M
- Alexander PowersKernersville$1.7M
- Charles BranchAdvance$1.6M
- Paul KimCharlotte$1.5M
- William HunterGastonia$1.3M
- Kevin CahillSupply$1.1M
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.