Iain Kalfas, MD
Neurological Surgery · Cleveland, OHNPI 1932165180
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.9%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Orthofix Medical, Inc. at 31.8% of the total. Reporting peaked in 2022 at $6,308 and has fallen 97.0% since, to $187 in 2025.
Across 62 payments — averaging $443.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$9K
- Stryker$6K
- Seaspine Orthopedics Corporation$5K
- 7d Surgical Inc.$5K
- Synthes GmbH$2K
- Johnson & Johnson$187
- plus $192 from 3 others
What the payments were for
- Consulting fees$16,47460%
- Speaking & faculty fees$3,50013%
- Travel & lodging$4,85518%
- Food & beverage$2,66210%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 5 | $8,735 |
| Stryker | 38 | $6,061 |
| Seaspine Orthopedics Corporation | 5 | $5,438 |
| 7d Surgical Inc. | 5 | $5,378 |
| Synthes GmbH | 1 | $1,500 |
| Johnson & Johnson(2 entities) | 5 | $187 |
| Biocomposites Inc | 1 | $146 |
| Titan Spine, LLC | 1 | $33 |
| Globus Medical | 1 | $13 |
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.
- 7D Surgical FLASH Frame$5,400
- 7D Surgical System$3,291
- TRITANIUM$1,861
- CASCADIA INTERBODY SYSTEM$912
- ALEUTIAN TLIF MI$827
- ALEUTIAN TLIF$827
- AERO$787
- ES2$787
- SERRATO$787
- OASYS$787
- N/A$733
- CHROMOPHARE F300$563
- UNIVERSAL NEURO 3$232
- CAPRI CORPECTOMY CAGE SYSTEM$175
- SONOPET IQ$167
- Stimulan$146
- SWITCHPOINT INFINITY, ISUITE$107
How this compares
$27,491 in reported general payments places this provider in the 80th 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 | 42 | $474 |
| Methocarbamol | 35 | $342 |
| Methylprednisolone | 17 | $73 |
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
- Gabriel SmithCleveland$72K
- Peter RasmussenCleveland$58K
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.