Donald Atkins, MD
Neurological Surgery · San Antonio, TXNPI 1245231729
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $143,603 of the $239,183 with a category attached, or 60.0%. Globus Medical accounts for 60.9% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2019 at $53,156 and has fallen 65.3% since, to $18,455 in 2025. Among neurological surgery clinicians in TX 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 2,045 payments — averaging $116.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$146K
- Boston Scientific$42K
- Medtronic$19K
- Abbott$18K
- Si-bone, Inc.$12K
- Nevro Corp.$2K
- plus $845 from 13 others
What the payments were for
- Royalty or licence$143,60360%
- Consulting fees$20,8839%
- Speaking & faculty fees$45,55619%
- Travel & lodging$2,6641%
- Food & beverage$26,47811%
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 | 61 | $145,687 |
| Boston Scientific | 925 | $41,917 |
| Medtronic(2 entities) | 358 | $18,786 |
| Abbott | 510 | $18,418 |
| Si-bone, Inc. | 39 | $11,515 |
| Nevro Corp. | 133 | $2,015 |
| MML US, Inc. | 1 | $177 |
| Providence Medical Technology, Inc. | 1 | $140 |
| Stryker | 4 | $111 |
| Painteq LLC | 1 | $82 |
| Orthofix Medical, Inc. | 2 | $64 |
| Saluda Medical Americas, Inc. | 2 | $60 |
| Baxter Healthcare | 1 | $48 |
| Portola Pharmaceuticals, LLC | 2 | $46 |
| Zimmer Biomet | 1 | $35 |
| Pacira Pharmaceuticals Incorporated | 1 | $25 |
| Johnson & Johnson | 1 | $25 |
| Biotronik NRO, Inc. | 1 | $18 |
| Zyla Life Sciences, 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.
- CALIBER$143,603
- WAVEWRITER ALPHA$10,875
- iFuse Implant$10,486
- PROCLAIM$7,784
- GENERAL PAIN MANAGEMENT$7,205
- INTELLIS ADAPTIVESTIM$5,876
- Proclaim Family of SCS IPGs$5,699
- KYPHON EXPRESS II KYPHOPAK TRAY$3,362
- SPECTRA WAVEWRITER$3,215
- WaveWriter Alpha Prime 16$2,948
- GENERAL - THERAPIES$2,250
- Excelsius - GPS$1,165
- Senza$445
- Neuromodulation Dspsbls and Accs$394
- INTELLIS$374
- SYNCHROMEDII$259
- INCEPTIV$252
- ReActiv8$177
- Proclaim IPG$114
- VANTA ADAPTIVESTIM$105
How this compares
$239,183 in reported general payments places this provider in the 95th percentile of 582 neurological surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 168 | $1,611 |
| Azithromycin | 304 | $1,046 |
| Gabapentin | 77 | $884 |
| Hydromorphone Hcl | 133 | $784 |
| Methocarbamol | 77 | $599 |
| Pregabalin | 27 | $294 |
| Fluconazole | 13 | $292 |
| Methylprednisolone | 31 | $197 |
| Amoxicillin | 22 | $189 |
| Tramadol Hcl | 49 | $122 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 16 | $93 |
| Levofloxacin | 22 | $63 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in San Antonio
- Arnold VardimanSan Antonio$687K
- George GalvanSan Antonio$83K
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
- Richard MeyratDallas$883K
- Adam LewisCorpus Christi$792K
- Andrew RoeserHouston$660K
- Scott RobertsonRound Rock$606K
- Sabatino BiancoArlington$564K
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.