John Otoole, MD
Neurological Surgery · Chicago, ILNPI 1619926672
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $518,088 of the $592,804 with a category attached, or 87.4%. Globus Medical accounts for 89.5% of it on its own, with 6 other manufacturers making up the rest. 2025 is the largest year on record at $121,944, 2.2 times the $55,933 reported in 2019. Among neurological surgery clinicians in IL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 140 payments — averaging $4234.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$530K
- Surgalign Spine Technologies, Inc.$40K
- Cerapedics Inc.$11K
- Viseon, Inc.$5K
- Synthes GmbH$5K
- Icotec Medical Inc.$2K
- plus $10 from 1 others
Across 42 payments — averaging $3523.92 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Cerapedics Inc.$148K
Across 4 payments — averaging $989.38 each. An ownership or investment interest held by the physician or an immediate family member.
- Viseon, Inc.$4K
What the payments were for
- Royalty or licence$518,08887%
- Consulting fees$53,1439%
- Speaking & faculty fees$4,9131%
- Travel & lodging$10,5252%
- Food & beverage$8850%
- Ownership interest$5,2501%
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 |
|---|---|---|
| Globus Medical | 112 | $530,283 |
| Surgalign Spine Technologies, Inc. | 6 | $40,299 |
| Cerapedics Inc. | 11 | $10,909 |
| Viseon, Inc. | 1 | $5,250 |
| Synthes GmbH | 7 | $4,554 |
| Icotec Medical Inc. | 2 | $1,500 |
| Orthofix Medical, Inc. | 1 | $10 |
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.
- Hedron$250,958
- HEDRON IA$107,041
- CAPITOL / RETRACTOR$72,537
- STREAMLINE MIS SPINAL FIXATION SYSTEM$40,299
- ZYFUSE$39,473
- ExcelsiusGPS Robotic Navigation System$10,883
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$10,601
- Globus XR Navigation System$8,125
- Navigation System AR$8,093
- Excelsius - GPS$7,827
- CAPITOL$7,459
- GLB Navigation System$5,877
- MaxView System$5,250
- CORBEL$3,413
- CALIBER$1,083
- Excelsius Robotics System$987
- CAPTIVATE$436
- Captivate VL$331
- Pelvic Screws$325
How this compares
$592,804 in reported general payments places this provider in the 95th percentile of 302 neurological surgery providers in Illinois.
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 | 50 | $730 |
| Baclofen | 13 | $204 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Chicago
- Tyler KoskiChicago$2.3M
- Vincent TraynelisChicago$1.8M
- Sergey NeckryshChicago$1.6M
- Richard FesslerChicago$910K
- Fady CharbelChicago$507K
- Issam AwadChicago$266K
- Mohamad BydonChicago$163K
- Ali AlarajChicago$155K
- Konstantin SlavinChicago$153K
- Joshua RosenowChicago$152K
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.