Gabriel Smith, MD
Neurological Surgery · Cleveland, OHNPI 1598056269
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $48,300 of the $72,120 with a category attached, or 67.0%. 10 manufacturers reported payments, led by Globus Medical at 48.7% of the total. Among neurological surgery clinicians in OH 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 255 payments — averaging $282.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$35K
- Stryker$18K
- Medtronic$17K
- Arthrex$501
- Nexus Medical Technologies LLC$296
- Arteriocyte Medical Systems, Inc.$261
- plus $322 from 4 others
What the payments were for
- Consulting fees$48,30067%
- Speaking & faculty fees$2,2753%
- Travel & lodging$7,46710%
- Food & beverage$10,66915%
- Education$3,4095%
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(2 entities) | 144 | $35,088 |
| Stryker | 30 | $18,426 |
| Medtronic(2 entities) | 64 | $17,226 |
| Arthrex | 8 | $501 |
| Nexus Medical Technologies LLC | 2 | $296 |
| Arteriocyte Medical Systems, Inc. | 1 | $261 |
| Si-bone, Inc. | 2 | $224 |
| Centinel Spine, LLC | 2 | $56 |
| Integra Lifesciences Corporation | 1 | $23 |
| Lundbeck LLC | 1 | $18 |
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.
- TRITANIUM$10,313
- Excelsius - GPS$8,763
- ARIA$8,750
- CASCADIA$8,750
- EVEREST XT$8,750
- ES2$8,750
- XLIF$8,709
- MIDAS REX$8,450
- TLIF$4,728
- CAPRI CORPECTOMY CAGE SYSTEM$3,909
- AIRO$3,575
- BIO4$3,575
- ALEUTIAN$3,500
- ExcelsiusGPS Robotic Navigation System$2,280
- CD HORIZON$1,846
- Simplify Cervical Artificial Disc$1,563
- INTELLIS ADAPTIVESTIM$1,300
- MAZOR X SYSTEM$1,155
- Excelsius3D Imaging System$710
- ALIF$477
How this compares
$72,120 in reported general payments places this provider in the 90th percentile of 301 neurological surgery providers in Ohio.
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 | 35 | $542 |
| Pregabalin | 11 | $325 |
| Oxycodone Hcl | 13 | $69 |
| Cyclobenzaprine Hcl | 11 | $45 |
| Methylprednisolone | 12 | $43 |
| Tramadol Hcl | 12 | $22 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Cleveland
- Abdi MohitCleveland$884K
- Mark BainCleveland$242K
- Pablo RecinosCleveland$211K
- Michael SteinmetzCleveland$168K
- Josue Avecillas ChasinCleveland$144K
- Gene BarnettCleveland$135K
- Prakash KotagalCleveland$82K
- Ajit KrishnaneyCleveland$76K
- Peter RasmussenCleveland$58K
- Tiffany HodgesCleveland$42K
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.