Gentian Toshkezi, MD
Neurological Surgery · Hagerstown, MDNPI 1760617054
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $10,641 of the $17,656 with a category attached, or 60.3%. 31 manufacturers reported payments, led by Cerapedics Inc. at 24.9% of the total. Reporting peaked in 2019 at $5,631 and has fallen 97.5% since, to $141 in 2025.
Across 177 payments — averaging $99.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Cerapedics Inc.$4K
- Si-bone, Inc.$3K
- Precision Spine, Inc.$2K
- Medtronic$2K
- Integrity Implants Inc. Dba Accelus$1K
- Globus Medical$910
- plus $4K from 25 others
What the payments were for
- Consulting fees$3,00017%
- Speaking & faculty fees$1,5008%
- Travel & lodging$2,34013%
- Food & beverage$10,64160%
- Education$1681%
- Entertainment$60%
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 |
|---|---|---|
| Cerapedics Inc. | 20 | $4,389 |
| Si-bone, Inc. | 20 | $2,572 |
| Precision Spine, Inc. | 7 | $2,203 |
| Medtronic(2 entities) | 31 | $2,110 |
| Integrity Implants Inc. Dba Accelus | 7 | $1,082 |
| Globus Medical(2 entities) | 12 | $910 |
| Boston Scientific | 30 | $758 |
| Integrity Implants Inc. | 3 | $527 |
| Providence Medical Technology, Inc. | 4 | $359 |
| Johnson & Johnson(2 entities) | 5 | $312 |
| Stryker | 5 | $275 |
| Spinal Elements, Inc. | 4 | $260 |
| Abbott | 7 | $260 |
| Trackx Technology, Inc. | 1 | $216 |
| Nevro Corp. | 2 | $173 |
| Alphatec Spine, Inc | 1 | $161 |
| Painteq LLC | 2 | $138 |
| Spineart USA Inc | 1 | $135 |
| Kuros Biosciences USA, Inc | 1 | $135 |
| Novo Nordisk | 1 | $124 |
| Surgalign Spine Technologies, Inc. | 1 | $116 |
| Medacta USA, Inc. | 1 | $106 |
| Augmedics Inc. | 1 | $91 |
| Xtant Medical Inc | 2 | $58 |
| Baxter Healthcare | 1 | $50 |
| Zimmer Biomet | 2 | $44 |
| Spineology Inc. | 1 | $31 |
| Novocure Inc. | 1 | $20 |
| Misonix Inc | 1 | $18 |
| Lifenet Health | 1 | $12 |
| DJO, LLC | 1 | $11 |
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.
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$9,015
- iFuse Implant$1,952
- NEXGEN ANTERIOR CERVICAL PLATE SYSTEM$1,179
- Dakota ACDF System$842
- O-ARM-ST$694
- FlareHawk$445
- INTELLIS ADAPTIVESTIM$393
- Excelsius - GPS$289
- GENERAL PAIN MANAGEMENT$286
- REFORM POCT SYSTEM$173
- SafeOp$161
- LIF$161
- MazorX - Renaissance$147
- Senza$140
- Proclaim Family of SCS IPGs$136
- Perla TL$135
- MagnetOs$135
- INVOKANA$124
- RYBELSUS$124
- PAINTEQ$121
How this compares
$17,656 in reported general payments places this provider in the 75th percentile of 133 neurological surgery providers in Maryland.
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 Hagerstown
- Grace MooneyHagerstown$70K
- Alexander CoonBaltimore$2.7M
- Charles SansurBaltimore$1.8M
- Faheem SandhuClinton$1.5M
- Nicholas TheodoreBaltimore$833K
- Daniel SciubbaBaltimore$789K
- Hugo BenalcazarBel Air$380K
- Henry BremBaltimore$353K
- Ira GaronzikBaltimore$297K
- James ConwayBaltimore$273K
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.