John Afshar, MD
Neurological Surgery · West Palm Beach, FLNPI 1245215409
Payments from drug & device makers
Across 87 payments — averaging $2331.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Flospine LLC$184K
- Retropsoas Technologies, LLC$11K
- Integrity Implants Inc.$5K
- Globus Medical$394
- Stryker$377
- Orthofix Medical, Inc.$208
- plus $1K from 17 others
What the payments were for
- Royalty or licence$38,04219%
- Consulting fees$153,99676%
- Travel & lodging$7,8504%
- Food & beverage$2,9011%
- Education$200%
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 |
|---|---|---|
| Flospine LLC | 44 | $184,038 |
| Retropsoas Technologies, LLC | 5 | $11,495 |
| Integrity Implants Inc. | 8 | $4,805 |
| Globus Medical | 2 | $394 |
| Stryker | 6 | $377 |
| Orthofix Medical, Inc. | 2 | $208 |
| Zap Surgical Systems, Inc. | 1 | $157 |
| Zimvie Inc. | 2 | $147 |
| Spineology Inc. | 2 | $142 |
| Choice Spine, LLC | 1 | $139 |
| Medtronic(2 entities) | 2 | $138 |
| Merit Medical Systems Inc | 1 | $124 |
| Integrity Implants Inc. Dba Accelus | 1 | $113 |
| Baxter Healthcare | 1 | $112 |
| Ossdsign USA Incorporated | 1 | $109 |
| Surgalign Spine Technologies, Inc. | 1 | $101 |
| Si-bone, Inc. | 1 | $58 |
| Captiva Spine Inc | 1 | $38 |
| Nexxt Spine LLC | 1 | $31 |
| Cerapedics Inc. | 1 | $23 |
| Centinel Spine, LLC | 1 | $21 |
| Stimwave Technologies Incorporated | 1 | $20 |
| CSL Behring | 1 | $20 |
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.
- Panama Anterior Cervical Plate System$103,509
- Ti-Largo Cervical Cage System$42,383
- Focus$11,495
- EARP Interbody System$11,495
- EARP Nerve Cuff Electrode$11,495
- Panama Anterior Cervical System$10,000
- KeyLift Intralaminar Expandable System$7,350
- Key Lift Intralaminar Expandable System$6,550
- Canaveral Deformity System$4,421
- TI-Largo Cervical Plate System$3,875
- Canaveral Deformity Pedicle Screw System$3,550
- All Systems$2,400
- FlareHawk$1,277
- COHERE$250
- TRITANIUM$202
- Spinal-Stim$176
- Zap-X$157
- Pulse$144
- Blackhawk Cervical Spacer System$139
- Thunderbolt Minimally Invasive Pedicle Screw Systems$139
How this compares
$202,809 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| Gabapentin | 37 | $512 |
| Methocarbamol | 37 | $392 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 29 | $228 |
| Methylprednisolone | 38 | $209 |
| Doxycycline Hyclate | 13 | $116 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in West Palm Beach
- Stephen ParkerJacksonville$18.7M
- Ira GoodmanOrlando$10.4M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
- Kim ManwaringOrlando$5M
- Ricardo HanelJacksonville$3.8M
- Brian HohGainesville$3.7M
- Paul SawinWinter Park$3M
- John MainOcala$2.8M
- Michael WangMiami$2.5M
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.