David Langer, MD
Neurological Surgery · New York, NYNPI 1790791846
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $176,185 of the $257,528 with a category attached, or 68.4%. Longeviti Neuro Solutions Inc accounts for 62.9% of it on its own, with 30 other manufacturers making up the rest. 2025 is the largest year on record at $160,220, 6.4 times the $24,879 reported in 2019. Among neurological surgery clinicians in NY 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 220 payments — averaging $1170.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Longeviti Neuro Solutions Inc$162K
- Medtronic$30K
- Olympus America Inc.$23K
- Aesculap, Inc.$23K
- Choice Spine, LLC$5K
- Brainlab, Inc.$3K
- plus $13K from 25 others
What the payments were for
- Consulting fees$45,29618%
- Speaking & faculty fees$176,18568%
- Travel & lodging$24,62510%
- Food & beverage$11,1324%
- Entertainment$2910%
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 |
|---|---|---|
| Longeviti Neuro Solutions Inc | 45 | $161,872 |
| Medtronic | 52 | $29,687 |
| Olympus America Inc. | 22 | $23,295 |
| Aesculap, Inc. | 25 | $22,524 |
| Choice Spine, LLC | 4 | $4,617 |
| Brainlab, Inc. | 8 | $2,619 |
| Globus Medical(2 entities) | 7 | $2,402 |
| Penumbra, Inc. | 3 | $2,159 |
| Sony Electronics Inc. | 1 | $2,051 |
| Relievant Medsystems, Inc. | 9 | $1,678 |
| Synaptive Medical Inc. | 7 | $1,180 |
| Olympus Corporation Of The Americas | 4 | $523 |
| Johnson & Johnson | 5 | $357 |
| Zimmer Biomet | 3 | $351 |
| NSK America Corporation | 2 | $291 |
| Cerapedics Inc. | 2 | $282 |
| Boston Scientific | 2 | $261 |
| Stryker | 2 | $231 |
| Irras USA, Inc. | 2 | $186 |
| Phenox Inc. | 1 | $175 |
| Imperative Care, Inc | 1 | $149 |
| Alphatec Spine, Inc | 1 | $136 |
| Carl Zeiss Meditec, Inc. | 1 | $95 |
| Kuros Biosciences USA, Inc | 1 | $93 |
| Novocure Inc. | 4 | $77 |
| Osteocentric Technologies, Inc. | 1 | $63 |
| Intrinsic Therapeutics | 1 | $52 |
| Viseon, Inc. | 1 | $40 |
| Si-bone, Inc. | 1 | $35 |
| Integra Lifesciences Corporation | 1 | $32 |
| Orthofix Medical, Inc. | 1 | $15 |
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.
- CLEARFIT$160,975
- AESCULAP$21,836
- ORBEYE SURGICAL MICROSCOPE$6,661
- Intracept$5,846
- Tomcat$4,574
- Penumbra SMART Coil$1,950
- MAZOR X SYSTEM$1,854
- Excelsius - GPS$1,359
- CONNECTING TUBE$1,271
- InvisiShunt Implant Kit$1,133
- Brightmatter Guide V$1,114
- Excelsius Robotics System$981
- Olympus ENT Instruments$792
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$527
- Blackhawk$374
- Tiger Shark$374
- Blackbird$374
- VEO$374
- INVISISHUNT$220
- Neuro Plating System$192
How this compares
$257,528 in reported general payments places this provider in the 90th percentile of 446 neurological surgery providers in New York.
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.
Other neurological surgery in New York
- J MoccoNew York$1.6M
- Alejandro BerensteinNew York$1.1M
- Darryl LauNew York$915K
- Mark BilskyNew York$903K
- Jan-Karl BurkhardtNew York$441K
- Dean ChouNew York$383K
- Reade DeleacyNew York$329K
- Johanna FifiNew York$326K
- Ali BaajNew York$240K
- Viviane TabarNew York$231K
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.