Fassil Mesfin
Neurological Surgery · Columbia, MONPI 1992968218
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $11,318 of the $14,676 with a category attached, or 77.1%. 14 manufacturers reported payments, led by Spinefrontier, Inc. at 31.5% of the total. Reporting peaked in 2019 at $6,363 and has fallen 94.2% since, to $371 in 2025.
Across 79 payments — averaging $185.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinefrontier, Inc.$5K
- Globus Medical$5K
- Stryker$2K
- Medical Device Business Services, Inc.$1K
- Medtronic$774
- GS Solutions, Inc.$334
- plus $1K from 8 others
Across 4 payments — averaging $375.00 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.
- Nanofuse Biologics LLC$2K
Across 4 payments — averaging $12,500 each. An ownership or investment interest held by the physician or an immediate family member.
- Axiomed LLC$50K
What the payments were for
- Speaking & faculty fees$2502%
- Travel & lodging$11,31877%
- Food & beverage$3,03021%
- Entertainment$791%
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 |
|---|---|---|
| Spinefrontier, Inc. | 12 | $4,628 |
| Globus Medical(2 entities) | 14 | $4,550 |
| Stryker | 15 | $1,763 |
| Medical Device Business Services, Inc. | 6 | $1,357 |
| Medtronic | 15 | $774 |
| GS Solutions, Inc. | 2 | $334 |
| Ulrich Medical USA, Inc. | 3 | $325 |
| Synthes GmbH | 1 | $250 |
| Johnson & Johnson | 5 | $199 |
| Baxter Healthcare | 1 | $141 |
| Spinal Elements, Inc. | 1 | $116 |
| Irras USA, Inc. | 1 | $106 |
| Nanohive Medical LLC | 1 | $96 |
| Boston Scientific | 2 | $38 |
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.
- PedFuse Reset$4,436
- INSET$4,436
- MISQUITO$4,436
- Excelsius Robotics System$2,080
- EXPEDIUM$1,234
- Excelsius - GPS$1,037
- Spine$792
- GENERAL K2M PRODUCT DISCUSSION$596
- ADVANCED PRODUCT DEVELOPMENT$533
- ExcelsiusGPS Robotic Navigation System$204
- Simplify Cervical Artificial Disc$165
- FLOSEAL$141
- SPINEMAP$140
- RAVINE$137
- CD HORIZON SPINAL SYSTEM$133
- STEALTHSTATION S8 PLATFORM$121
- Medical Device$116
How this compares
$14,676 in reported general payments places this provider in the 75th percentile of 172 neurological surgery providers in Missouri.
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 Columbia
- Thorkild NorregaardColumbia$29K
- Carolyn QuinseyColumbia$22K
- Farhan SiddiqColumbia$14K
- Bornali KunduColumbia$8K
- Neill WrightSaint Louis$1.1M
- Wilson RaySaint Louis$586K
- Carlos BagleyKansas City$532K
- Kaywan GamadiaCape Girardeau$458K
- Camilo MolinaSaint Louis$412K
- Paul SantiagoSaint Louis$368K
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.