Ira Garonzik, MD
Neurological Surgery · Baltimore, MDNPI 1104894781
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (51.6%), consulting fees and speaking fees — rather than concentrated in one kind of arrangement. 32 manufacturers reported payments, led by The Institute Of Musculoskeletal Science And Education at 54.8% of the total. Reporting peaked in 2021 at $72,779 and has fallen 88.8% since, to $8,184 in 2025. Among neurological surgery clinicians in MD 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 258 payments — averaging $1151.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- The Institute Of Musculoskeletal Science And Education$163K
- Philadelphia Medical Management Company LLC$100K
- Nevro Corp.$26K
- Camber Spine Technologies LLC$6K
- Globus Medical$561
- Abbott$346
- plus $1K from 26 others
What the payments were for
- Royalty or licence$153,31752%
- Consulting fees$86,99229%
- Speaking & faculty fees$48,99616%
- Travel & lodging$1,4550%
- Food & beverage$6,2072%
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 |
|---|---|---|
| The Institute Of Musculoskeletal Science And Education | 30 | $162,660 |
| Philadelphia Medical Management Company LLC | 3 | $99,588 |
| Nevro Corp. | 124 | $26,474 |
| Camber Spine Technologies LLC | 10 | $5,914 |
| Globus Medical | 25 | $561 |
| Abbott | 11 | $346 |
| Johnson & Johnson(2 entities) | 4 | $176 |
| Orthofix Medical, Inc. | 5 | $156 |
| Baxter Healthcare | 3 | $108 |
| Electronic Waveform Lab, Inc. | 4 | $103 |
| Eisai Inc. | 5 | $95 |
| Lilly USA, LLC | 4 | $77 |
| Boston Scientific | 3 | $75 |
| Medtronic | 3 | $66 |
| Spinal Elements, Inc. | 1 | $63 |
| Lundbeck LLC | 2 | $54 |
| Surgalign Spine Technologies, Inc. | 1 | $53 |
| AbbVie | 3 | $50 |
| Vertos Medical, Inc. | 2 | $41 |
| Cerapedics Inc. | 2 | $39 |
| Biogen | 2 | $33 |
| Argenx US, Inc. | 1 | $29 |
| Intrinsic Therapeutics | 1 | $26 |
| Spinal Simplicity, LLC | 1 | $25 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $24 |
| SK Life Science, Inc. | 1 | $24 |
| Biotronik NRO, Inc. | 1 | $21 |
| AstraZeneca | 1 | $20 |
| UCB, Inc. | 1 | $19 |
| Banner Life Sciences, LLC | 1 | $19 |
| Vertex | 1 | $17 |
| Spineology Inc. | 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.
- Ti-Diagon$66,932
- Spira$62,768
- Spira-C$61,990
- Spira-V$59,440
- Fortico$45,902
- Spira-C Integrated$38,185
- Reduction Screw$21,255
- Senza$13,095
- Omnia$10,815
- Orthros$7,492
- Enza 2.$4,214
- Senza Spinal Cord Stimulation System$511
- Eon Family of SCS IPGs$124
How this compares
$296,967 in reported general payments places this provider in the 90th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 35 | $616 |
| Gabapentin | 45 | $477 |
| Duloxetine Hcl | 17 | $451 |
| Cyclobenzaprine Hcl | 23 | $337 |
| Tramadol Hcl | 60 | $295 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Baltimore
- Alexander CoonBaltimore$2.7M
- Charles SansurBaltimore$1.8M
- Nicholas TheodoreBaltimore$833K
- Daniel SciubbaBaltimore$789K
- Henry BremBaltimore$353K
- James ConwayBaltimore$273K
- Gustavo PradillaBaltimore$164K
- Timothy WithamBaltimore$141K
- Charles ParkBaltimore$89K
- William AndersonBaltimore$77K
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.