Daniel Hafez, MD
Neurological Surgery · Saint Louis, MONPI 1134534621
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (37.6%), grants and speaking fees — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Globus Medical at 52.3% of the total. 2025 is the largest year on record at $161,641, more than ten times the $132 reported in 2019. Among neurological surgery clinicians in MO 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 323 payments — averaging $843.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$143K
- Arthrex$63K
- Elliquence, LLC$33K
- Depuy Synthes Products, Inc.$13K
- Spineology Inc.$9K
- Alphatec Spine, Inc$4K
- plus $8K from 17 others
Across 1 payment — averaging $599.30 each. An ownership or investment interest held by the physician or an immediate family member.
- Expanding Innovations, Inc.$599
What the payments were for
- Consulting fees$102,37538%
- Speaking & faculty fees$56,45021%
- Grants$60,00022%
- Travel & lodging$39,99515%
- Food & beverage$13,5245%
- Entertainment$2550%
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) | 139 | $142,534 |
| Arthrex | 39 | $62,591 |
| Elliquence, LLC | 17 | $33,233 |
| Depuy Synthes Products, Inc. | 13 | $13,069 |
| Spineology Inc. | 19 | $9,083 |
| Alphatec Spine, Inc | 21 | $4,007 |
| Medtronic | 25 | $3,691 |
| Johnson & Johnson | 11 | $730 |
| Stryker | 7 | $623 |
| Expanding Innovations, Inc. | 1 | $599 |
| Integra Lifesciences Corporation | 5 | $493 |
| Corelink, LLC | 2 | $290 |
| Medical Device Business Services, Inc. | 3 | $279 |
| Nexus Spine, LLC | 1 | $278 |
| Elite Orthopedics, LLC | 9 | $202 |
| Abbott | 1 | $175 |
| Centinel Spine, LLC | 2 | $170 |
| Si-bone, Inc. | 1 | $146 |
| Retropsoas Technologies, LLC | 1 | $138 |
| Kls-martin L.p. | 1 | $125 |
| Trackx Technology, Inc. | 1 | $66 |
| Augmedics Inc. | 3 | $53 |
| Zimvie Inc. | 1 | $22 |
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.
- Excelsius - GPS$34,841
- Velys$12,800
- MARS$12,206
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$8,798
- ELSA$8,238
- ExcelsiusGPS Robotic Navigation System$7,679
- XLIF$6,948
- Anthem$3,150
- Trigger-Flex$3,000
- Other - Miscellaneous$2,294
- CD HORIZON SPINAL SYSTEM$2,127
- CREO MCS, Fenestrated, Sideloading$1,830
- FORTIFY$1,356
- ELSA ATP$889
- CREO 5.5$788
- Quartex$620
- X-PAC$599
- MaXcess$581
- PRONE LATERAL$425
- CODMAN CERTAS$405
How this compares
$272,598 in reported general payments places this provider in the 95th percentile of 172 neurological surgery providers in Missouri.
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 |
|---|---|---|
| Pregabalin | 41 | $1,416 |
| Oxycodone Hcl | 124 | $1,138 |
| Gabapentin | 55 | $901 |
| Mupirocin | 113 | $713 |
| Hydromorphone Hcl | 27 | $480 |
| Cyclobenzaprine Hcl | 57 | $386 |
| Methocarbamol | 15 | $259 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $150 |
| Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl | 12 | $146 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Saint Louis
- Neill WrightSaint Louis$1.1M
- Wilson RaySaint Louis$586K
- Camilo MolinaSaint Louis$412K
- Paul SantiagoSaint Louis$368K
- Daniel ScodarySaint Louis$278K
- John OgunladeSaint Louis$220K
- Joshua OsbunSaint Louis$98K
- Adewale BakareSaint Louis$81K
- Eric LeuthardtSaint Louis$78K
- Nitin AgarwalSaint Louis$68K
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.