David Kung, MD
Neurological Surgery · Lebanon, NHNPI 1114134921
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (51.1%), food and beverage and gifts — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Penumbra, Inc. at 43.5% of the total. Reporting peaked in 2019 at $4,868 and has fallen 79.0% since, to $1,020 in 2025.
Across 74 payments — averaging $161.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Stryker$2K
- Orthofix Medical, Inc.$1K
- Medical Device Business Services, Inc.$1K
- Imperative Care, Inc$851
- Rapid Medical Ltd$450
- plus $1K from 10 others
Across 2 payments — averaging $3610.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$7K
What the payments were for
- Travel & lodging$6,12551%
- Food & beverage$5,85849%
- Gifts$40%
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 |
|---|---|---|
| Penumbra, Inc. | 15 | $5,211 |
| Stryker | 15 | $1,575 |
| Orthofix Medical, Inc. | 9 | $1,417 |
| Medical Device Business Services, Inc. | 8 | $1,093 |
| Imperative Care, Inc | 6 | $851 |
| Rapid Medical Ltd | 3 | $450 |
| Clariance, Inc. | 2 | $343 |
| Johnson & Johnson | 3 | $181 |
| Globus Medical | 4 | $159 |
| Medtronic | 3 | $156 |
| Qapel Medical Inc | 1 | $140 |
| Balt USA, LLC | 1 | $135 |
| Portola Pharmaceuticals, LLC | 1 | $125 |
| Surgalign Spine Technologies, Inc. | 1 | $97 |
| Zimmer Biomet | 1 | $32 |
| Abbott | 1 | $21 |
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.
- Penumbra System$6,371
- Ascent$1,179
- Pulsar Vascular PulseRider Aneurysm Neck Reconstruction Device$1,017
- TRUFILL$1,017
- TREVO$626
- ZOOM 88-T LARGE DISTAL PLATFORM$608
- Smart Coil$591
- Penumbra SMART Coil$550
- TIGERTRIEVER 17 REVASCULARIZATION DEVICE$450
- COMANECI 17$450
- Penumbra Jet 7$401
- Erisma-LP$343
- Idys-TLIF 3DTi$177
- SURPASS$167
- Idys-ALIF$166
- NEUROFORM EZ$163
- NEURO$163
- EVOLVE PROLINE$158
- Benchmark$150
- SURPASS EVOLVE$145
How this compares
$11,987 in reported general payments places this provider in the 80th percentile of 32 neurological surgery providers in New Hampshire.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 13 | $263 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lebanon
- Nevan BaldwinLebanon$214K
- Joshua AronsonLebanon$78K
- Xiaonan SunLebanon$21K
- Murray EchtLebanon$11K
- Patricia ClerkinLebanon$9K
- James LeeLebanon$5K
- Naser JaleelLebanon$3K
- Andrew JeaLebanon$3K
- Jennifer HongLebanon$1K
- Hulda MagnadottirLebanon$1K
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.