James Brennan, MD
Neurological Surgery · Norfolk, VANPI 1447217666
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $107,200 of the $129,741 with a category attached, or 82.6%. Seaspine Orthopedics Corporation accounts for 80.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $34,776 and has fallen 92.0% since, to $2,796 in 2025. Among neurological surgery clinicians in VA 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 130 payments — averaging $998.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Seaspine Orthopedics Corporation$104K
- Orthofix Medical, Inc.$17K
- Boston Scientific$8K
- Medtronic$334
- Intrinsic Therapeutics$239
- Cerapedics Inc.$92
- plus $206 from 7 others
What the payments were for
- Royalty or licence$107,20083%
- Consulting fees$8,6257%
- Speaking & faculty fees$3,4003%
- Travel & lodging$5,1094%
- Food & beverage$5,4064%
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 |
|---|---|---|
| Seaspine Orthopedics Corporation | 43 | $104,033 |
| Orthofix Medical, Inc. | 20 | $17,229 |
| Boston Scientific | 52 | $7,608 |
| Medtronic | 5 | $334 |
| Intrinsic Therapeutics | 1 | $239 |
| Cerapedics Inc. | 2 | $92 |
| SPR Therapeutics, Inc | 1 | $81 |
| Microtransponder, Inc. | 1 | $32 |
| Shire North American Group Inc | 1 | $23 |
| Misonix Inc | 1 | $22 |
| Mannkind Corporation | 1 | $22 |
| Saluda Medical Americas, Inc. | 1 | $13 |
| Clarus Therapeutics 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.
- Sierra$57,328
- Sierra OCT$49,841
- Mariner$4,977
- Manta Ray$4,750
- SPECTRA WAVEWRITER$4,468
- 7D Surgical System$3,912
- Strand$3,250
- Skipjack$2,173
- NorthStar$1,832
- WaveWriter Alpha Prime 16$845
- NewPort$533
- Cambria NanoMetalene$500
- NanoMetalene Technology$500
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$478
- GENERAL - THERAPIES$365
- STEALTHSTATION S8 PLATFORM$172
- Superion Indirect Decompression System$149
- GENERAL PAIN MANAGEMENT$123
- GENERAL VASCULAR ACCESS$109
How this compares
$129,741 in reported general payments places this provider in the 90th percentile of 156 neurological surgery providers in Virginia.
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 |
|---|---|---|
| Baclofen | 14 | $308 |
| Methocarbamol | 15 | $306 |
| Tizanidine Hcl | 25 | $222 |
| Nabumetone | 13 | $212 |
| Meloxicam | 16 | $43 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Norfolk
- Parker BabingtonNorfolk$164K
- Paul MitchellNorfolk$67K
- Venita SimpsonNorfolk$22K
- Byron HillsNorfolk$19K
- Shannon ClarkNorfolk$17K
- Wylie ZhuNorfolk$16K
- Wilson DaughertyNorfolk$6K
- Justin SmithCharlottesville$2.3M
- David VincentVirginia Beach$959K
- Mudit SharmaManassas$714K
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.