Christopher Mickler, DO
Neurological Surgery · Clearwater, FLNPI 1457594012
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 88.9% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2024 at $7,347 and has fallen 54.9% since, to $3,311 in 2025.
Across 198 payments — averaging $129.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$23K
- VB Spine LLC$2K
- Integra Lifesciences Corporation$123
- Medtronic$70
- Orthofix Medical, Inc.$63
- CSL Behring$46
- plus $190 from 6 others
What the payments were for
- Consulting fees$8,00031%
- Travel & lodging$4,08116%
- Food & beverage$13,65253%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Stryker | 152 | $22,869 |
| VB Spine LLC | 25 | $2,374 |
| Integra Lifesciences Corporation | 6 | $123 |
| Medtronic(2 entities) | 2 | $70 |
| Orthofix Medical, Inc. | 4 | $63 |
| CSL Behring | 2 | $46 |
| Cerapedics Inc. | 2 | $38 |
| Baxter Healthcare | 1 | $37 |
| Providence Medical Technology, Inc. | 1 | $34 |
| Novocure Inc. | 1 | $32 |
| Microtransponder, Inc. | 1 | $25 |
| Si-bone, Inc. | 1 | $24 |
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.
- OZARK CERVICAL PLATE SYSTEM$5,399
- EVEREST SPINAL SYSTEM$5,398
- CASCADIA INTERBODY SYSTEM$1,992
- ES2 SPINAL SYSTEM$1,954
- NIAGARA LATERAL ACCESS SYSTEM$1,000
- MESA SPINAL SYSTEM$1,000
- CAPRI$696
- YUKON$415
- CHESAPEAKE STABILIZATION SYSTEM$351
- BIO4$345
- OASYS$341
- ProLift$326
- ES2$310
- TRITANIUM$288
- YUKON OCT SPINAL SYSTEM$213
- CAPRI CORPECTOMY CAGE SYSTEM$208
- AVS$171
- MOJAVE$161
- IMBIBE$158
- EVEREST MI$148
How this compares
$25,733 in reported general payments places this provider in the 70th percentile of 556 neurological surgery providers in Florida.
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 |
|---|---|---|
| Methylprednisolone | 70 | $558 |
| Tizanidine Hcl | 47 | $374 |
| Mupirocin | 30 | $183 |
| Methocarbamol | 18 | $163 |
| Pantoprazole Sodium | 16 | $16 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Clearwater
- Stephen ParkerJacksonville$18.7M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
- Kim ManwaringOrlando$5M
- Paul SawinWinter Park$3M
- John MainOcala$2.8M
- Michael WangMiami$2.2M
- Andrew CannestraJacksonville$1.6M
- Rohit VasanTampa$1.5M
- Wilson AsforaMiami$1.3M
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.