Clark Bernard, MD
Neurological Surgery · Fishersville, VANPI 1477654937
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $37,000 of the $39,905 with a category attached, or 92.7%. Medtronic accounts for 94.8% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $37,530 and has fallen 94.5% since, to $2,079 in 2025. Among neurological surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 39 payments — averaging $1023.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$38K
- Globus Medical$2K
- Camber Spine Technologies LLC$71
- Amgen$46
- Johnson & Johnson$37
- Boston Scientific$37
- plus $99 from 6 others
What the payments were for
- Royalty or licence$37,00093%
- Travel & lodging$2,0095%
- Food & beverage$8962%
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(3 entities) | 11 | $37,833 |
| Globus Medical(2 entities) | 15 | $1,782 |
| Camber Spine Technologies LLC | 1 | $71 |
| Amgen | 3 | $46 |
| Johnson & Johnson | 1 | $37 |
| Boston Scientific | 2 | $37 |
| Misonix Inc | 1 | $22 |
| Providence Medical Technology, Inc. | 1 | $19 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| Avanos Medical | 1 | $15 |
| Stryker | 1 | $14 |
| Relievant Medsystems, 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.
- VenaSeal$37,000
- Excelsius - GPS$1,299
- MAZOR X SYSTEM$620
How this compares
$39,905 in reported general payments places this provider in the 90th percentile of 156 neurological surgery providers in Virginia.
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 | 27 | $317 |
| Meloxicam | 91 | $195 |
| Pregabalin | 11 | $153 |
| Tramadol Hcl | 25 | $108 |
| Tizanidine Hcl | 13 | $107 |
| Oxycodone Hcl | 19 | $91 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Fishersville
- Justin SmithCharlottesville$2.3M
- David VincentVirginia Beach$959K
- Mudit SharmaManassas$714K
- Ryan KelloggCharlottesville$245K
- Andrew FanousAlexandria$185K
- Bernardo OrdonezChesapeake$178K
- Parker BabingtonNorfolk$164K
- Devon LefeverChesapeake$148K
- James BrennanNorfolk$130K
- Juan Sardi RestrepoCharlottesville$128K
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.