Derek Duke, MD
Neurological Surgery · Henderson, NVNPI 1619934916
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 78 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Medtronic accounts for 71.0% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2019 at $839 and has fallen 97.7% since, to $19 in 2025. That places this record below the midpoint for neurological surgery clinicians in NV, where the typical reported total is $6,847.
Across 78 payments — averaging $19.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1K
- Spinal Elements, Inc.$198
- Zimmer Biomet$78
- Johnson & Johnson$54
- Baxter Healthcare$45
- Argenx US, Inc.$31
- plus $42 from 2 others
What the payments were for
- Food & beverage$1,542100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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) | 67 | $1,095 |
| Spinal Elements, Inc. | 2 | $198 |
| Zimmer Biomet | 3 | $78 |
| Johnson & Johnson(2 entities) | 2 | $54 |
| Baxter Healthcare | 1 | $45 |
| Argenx US, Inc. | 1 | $31 |
| GSK | 1 | $23 |
| Boston Scientific | 1 | $19 |
How this compares
$1,542 in reported general payments places this provider in the 30th percentile of 45 neurological surgery providers in Nevada.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 41 | $775 |
| Gabapentin | 39 | $593 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $126 |
| Meloxicam | 16 | $75 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Henderson
- James ForageHenderson$61K
- Julia YiHenderson$3K
- Richard CookHenderson$3K
- Randal PeoplesHenderson$164
- Paul WilliamsHenderson$97
- Clinton GottHenderson$23
- William SmithLas Vegas$1.5M
- Jason GarberLas Vegas$787K
- Yevgeniy KhavkinLas Vegas$577K
- Michael SeiffLas Vegas$335K
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.