Deb Bhowmick, MD
Neurological Surgery · Chapel Hill, NCNPI 1275696650
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $64,575 of the $91,048 with a category attached, or 70.9%. Medtronic accounts for 71.0% of it on its own, with 16 other manufacturers making up the rest.
Across 202 payments — averaging $450.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$65K
- Carlsmed, Inc.$10K
- Spine Wave, Inc.$4K
- Globus Medical$4K
- Alphatec Spine, Inc$4K
- Stryker$1K
- plus $2K from 11 others
Across 14 payments — averaging $4603.95 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.
- Providence Medical Technology, Inc.$35K
- Medtronic$30K
What the payments were for
- Consulting fees$64,57571%
- Speaking & faculty fees$2,5003%
- Travel & lodging$18,04820%
- Food & beverage$5,9257%
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(2 entities) | 122 | $64,677 |
| Carlsmed, Inc. | 7 | $10,228 |
| Spine Wave, Inc. | 10 | $4,348 |
| Globus Medical(2 entities) | 21 | $4,298 |
| Alphatec Spine, Inc | 14 | $3,922 |
| Stryker | 6 | $1,392 |
| Providence Medical Technology, Inc. | 10 | $946 |
| CTL Medical Corporation | 1 | $732 |
| Medical Device Business Services, Inc. | 2 | $173 |
| Next Science LLC | 1 | $96 |
| NSK America Corporation | 1 | $75 |
| Xtant Medical Inc | 1 | $46 |
| Si-bone, Inc. | 2 | $39 |
| Spinal Elements, Inc. | 1 | $22 |
| SPR Therapeutics, Inc | 1 | $21 |
| Trackx Technology, Inc. | 1 | $19 |
| Osteocentric Technologies, 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.
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$46,796
- aprevo$10,228
- CLYDESDALE$8,542
- PROFICIENT POSTERIOR CERVICAL SPINE SYSTEM$4,000
- Other - Miscellaneous$2,630
- PIVOX Oblique Lateral Spinal System$2,500
- Quartex$1,286
- T2 STRATOSPHERE$1,250
- ALTERA$1,224
- CASCADIA INTERBODY SYSTEM$1,223
- MAZOR X SYSTEM$937
- RISE-L . RISE-L A/L$608
- O-ARM$354
- ExcelsiusGPS Robotic Navigation System$328
- CAVUX Cervical Cage$249
- IdentiTi$239
- SI-LOK$172
- RELINE$172
- Excelsius3D Imaging System$172
- ACP$166
How this compares
$91,048 in reported general payments places this provider in the 80th percentile of 196 neurological surgery providers in North Carolina.
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 | 24 | $456 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Chapel Hill
- Michael GalganoChapel Hill$146K
- Vibhor KrishnaChapel Hill$91K
- Joshua LoewensteinChapel Hill$40K
- Cheerag UpadhyayaChapel Hill$28K
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- John ThomasWilmington$1.8M
- Alexander PowersKernersville$1.7M
- Charles BranchAdvance$1.6M
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.