Garth Cosgrove, MD
Neurological Surgery · Boston, MANPI 1649386988
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $54,862 of the $64,244 with a category attached, or 85.4%. 7 manufacturers reported payments, led by Insightec,inc at 50.0% of the total. Reporting peaked in 2022 at $43,561 and has fallen 92.3% since, to $3,350 in 2025. Among neurological surgery clinicians in MA 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 54 payments — averaging $1189.71 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Insightec,inc$32K
- Clearpoint Neuro, Inc.$29K
- Boston Scientific$2K
- Merck Healthcare Kgaa$800
- Medtronic$435
- Zimmer Biomet$30
- plus $25 from 1 others
Across 22 payments — averaging $17,325 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.
- Insightec,ltd$378K
- Novo Nordisk AS$3K
What the payments were for
- Consulting fees$54,86285%
- Travel & lodging$6,94911%
- Food & beverage$2,4344%
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 |
|---|---|---|
| Insightec,inc | 37 | $32,123 |
| Clearpoint Neuro, Inc. | 9 | $29,182 |
| Boston Scientific | 2 | $1,650 |
| Merck Healthcare Kgaa | 1 | $800 |
| Medtronic(2 entities) | 3 | $435 |
| Zimmer Biomet | 1 | $30 |
| Neuropace, Inc. | 1 | $25 |
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.
- Exablate$31,292
- CLEARPOINT$20,239
- ClearPoint Neuro Workstation$7,443
- VERCISE$1,650
- ClearPoint System$1,500
How this compares
$64,244 in reported general payments places this provider in the 90th percentile of 183 neurological surgery providers in Massachusetts.
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 Boston
- Simcha WellerBoston$905K
- Aman PatelBoston$734K
- Alireza AtriBoston$503K
- Myron RolleBoston$290K
- John ChiBoston$280K
- Philipp TausskyBoston$224K
- Robert RichardsonBoston$190K
- Brendon BootBoston$149K
- Muhammad Abd-El-BarrBoston$140K
- Brian NahedBoston$97K
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.