Ian Cote, MD
Neurological Surgery · Miami, FLNPI 1457762221
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $181,831 of the $231,051 with a category attached, or 78.7%. 16 manufacturers reported payments, led by Stryker at 48.2% of the total. Among neurological surgery clinicians in FL 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 439 payments — averaging $526.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$111K
- Kyocera Medical Technologies, Inc.$100K
- Globus Medical$16K
- VB Spine LLC$2K
- AstraZeneca$221
- Altus Partners. LLC$179
- plus $596 from 10 others
What the payments were for
- Consulting fees$181,83179%
- Travel & lodging$23,75910%
- Food & beverage$25,46111%
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 |
|---|---|---|
| Stryker | 260 | $111,323 |
| Kyocera Medical Technologies, Inc. | 10 | $100,341 |
| Globus Medical(2 entities) | 128 | $16,185 |
| VB Spine LLC | 23 | $2,206 |
| AstraZeneca | 4 | $221 |
| Altus Partners. LLC | 1 | $179 |
| Alphatec Spine, Inc | 1 | $172 |
| Kls-martin L.p. | 2 | $159 |
| Orthofix Medical, Inc. | 2 | $84 |
| Axogen | 1 | $47 |
| Baxter Healthcare | 2 | $34 |
| Medtronic | 1 | $25 |
| Neurocrine Biosciences, Inc. | 1 | $22 |
| Pacira Pharmaceuticals Incorporated | 1 | $21 |
| Integra Lifesciences Corporation | 1 | $17 |
| Boston Scientific | 1 | $15 |
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$28,199
- ES2$26,611
- ES2 SPINAL SYSTEM$25,026
- CASCADIA INTERBODY SYSTEM$21,921
- XIA$21,571
- AIRO$20,800
- NIAGARA LATERAL ACCESS SYSTEM$20,800
- MONTEREY AL$20,800
- SERRATO$19,260
- MAKO$13,734
- CASCADIA$12,970
- CORE$11,538
- SPINEJACK$8,000
- XLIF$7,777
- AERO$6,750
- ARIA$6,188
- LATERAL ACCESS SPINAL SYSTEM$6,100
- AERO-LL$3,906
- ALIF$2,572
- EVEREST SPINAL SYSTEM$2,188
How this compares
$231,051 in reported general payments places this provider in the 90th percentile of 556 neurological surgery providers in Florida.
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 |
|---|---|---|
| Celecoxib | 107 | $3,128 |
| Gabapentin | 103 | $1,402 |
| Pregabalin | 35 | $623 |
| Cyclobenzaprine Hcl | 51 | $513 |
| Tizanidine Hcl | 21 | $424 |
| Baclofen | 25 | $304 |
| Methylprednisolone | 34 | $218 |
| Diclofenac Sodium | 16 | $204 |
| Duloxetine Hcl | 12 | $144 |
| Meloxicam | 11 | $17 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Miami
- Eric PetersonMiami$10.1M
- Michael WangMiami$2.2M
- Wilson AsforaMiami$1.3M
- Steven VanniMiami$1.1M
- Timur UrakovMiami$652K
- Samuel GoldsmitMiami$519K
- Robert StarkeMiami$302K
- Michael IvanMiami$225K
- James GuestMiami$155K
- Stephen ParkerJacksonville$18.7M
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.