James Silverthorn
Neurological Surgery · Sacramento, CANPI 1780662080
Payments from drug & device makers
Across 148 payments — averaging $91.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$8K
- Axogen$1K
- Centinel Spine, LLC$1K
- Surgical Theater. Inc.$510
- Johnson & Johnson$344
- Abbott$336
- plus $2K from 10 others
What the payments were for
- Travel & lodging$3,02622%
- Food & beverage$10,52878%
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 |
|---|---|---|
| Medtronic | 106 | $7,771 |
| Axogen | 4 | $1,354 |
| Centinel Spine, LLC | 9 | $1,310 |
| Surgical Theater. Inc. | 2 | $510 |
| Johnson & Johnson | 3 | $344 |
| Abbott | 3 | $336 |
| Spinal Elements, Inc. | 3 | $327 |
| Integrity Implants Inc. Dba Accelus | 5 | $307 |
| NICO Corporation | 1 | $228 |
| Xtant Medical Inc | 2 | $226 |
| Kuros Biosciences USA, Inc | 1 | $197 |
| Checkpoint Surgical, Inc | 2 | $178 |
| Ossdsign USA Incorporated | 1 | $145 |
| Medical Device Business Services, Inc. | 1 | $125 |
| Stryker | 4 | $118 |
| Globus Medical | 1 | $80 |
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.
- AxoGuard Nerve Connector$1,302
- AxoGuard Nerve Protector$1,302
- PRODISC L$971
- STEALTHSTATION S8 PLATFORM$662
- MAZOR X SYSTEM$542
- ANTERALIGN SPINAL SYSTEM WITH TITAN NANOLOCK SURFACE TECHNOLOGY$481
- ANATOMIC PEEK PTC CERVICAL FUSION SYSTEM$400
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$359
- PROCLAIM$325
- SOVEREIGN SPINAL SYSTEM$290
- METRX SYSTEM$287
- Medical Device$284
- UNID_PASS$259
- mild Device Kit$228
- FlareHawk$211
- SYNTHECEL$201
- MagnetOs$197
- CD HORIZON SPINAL SYSTEM$156
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$155
- PRODISC C VIVO$148
How this compares
$13,554 in reported general payments places this provider in the 60th percentile of 773 neurological surgery providers in California.
Other neurological surgery in Sacramento
- Kee KimSacramento$2M
- Geoffrey ManleySan Francisco$24.9M
- Christopher AmesSan Francisco$7.1M
- Jamshid SalehRedding$4.1M
- Bruce McCormackSan Francisco$3.9M
- Andrew SchreiberSanta Ana$3.9M
- Larry KhooLos Angeles$3M
- Jennie TaylorSan Francisco$2.7M
- Joseph CiacciSan Diego$2.6M
- Nicholas ButowskiSan Francisco$2.4M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.