Has John Roufail, MD received payments from drug or device companies?

Yes. Drug and device makers reported $7,270 in general payments to John Roufail, MD across 81 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean John Roufail, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about John Roufail, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

John Roufail, MD

Neurological Surgery · Denison, TXNPI 1033454194

Payments from drug & device makers

What this record shows

This record is dominated by travel and lodging: $5,032 of the $7,270 with a category attached, or 69.2%. 11 manufacturers reported payments, led by Medtronic at 37.0% of the total. Reporting peaked in 2021 at $3,376 and has fallen 86.6% since, to $453 in 2025.

$7,270in general payments, 2019–2025

Across 81 payments — averaging $89.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Medtronic$3K
Stryker$2K
Globus Medical$1K
Zimmer Biomet$758
Integra Lifesciences Corporation$683
Boston Scientific$131
plus $393 from 5 others

What the payments were for

Travel & lodging$5,03269%
Food & beverage$2,23931%

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(2 entities)	35	$2,688
Stryker	9	$1,528
Globus Medical	7	$1,089
Zimmer Biomet	6	$758
Integra Lifesciences Corporation	17	$683
Boston Scientific	1	$131
Johnson & Johnson	1	$125
Orthofix Medical, Inc.	1	$121
Si-bone, Inc.	2	$109
SK Life Science, Inc.	1	$19
Eisai Inc.	1	$19

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.

How this compares

$7,270 in reported general payments places this provider in the 60th percentile of 582 neurological surgery providers in Texas.

See all neurological surgery providers in Texas →

Medicare billing

Part B allowed, 2024

$45,995

Medicare patients

111

Services billed

244

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.

Other neurological surgery in Denison

Koijan KainthThe Woodlands$1.3M
Luis DuarteSan Angelo$1.2M
Douglas FoxAustin$948K
Richard MeyratDallas$883K
Adam LewisCorpus Christi$792K
Arnold VardimanSan Antonio$687K
Andrew RoeserHouston$660K
Scott RobertsonRound Rock$606K
Sabatino BiancoArlington$564K
Rebecca StachniakPlano$561K

See the full list for Texas →

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.

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