John Thomas, MD
Neurological Surgery · Wilmington, NCNPI 1780835769
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,205,132 of the $1,782,653 with a category attached, or 67.6%. Globus Medical accounts for 98.3% of it on its own, with 28 other manufacturers making up the rest. Reporting peaked in 2023 at $611,818 and has fallen 78.2% since, to $133,280 in 2025. Among neurological surgery clinicians in NC 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 787 payments — averaging $2265.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$1.8M
- Trackx Technology, Inc.$24K
- Medtronic$1K
- Tricoast Surgical Solutions LLC$747
- Boston Scientific$697
- Providence Medical Technology, Inc.$378
- plus $2K from 23 others
Across 141 payments — averaging $4215.93 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.
- Globus Medical$594K
What the payments were for
- Royalty or licence$1,205,13268%
- Consulting fees$454,12025%
- Speaking & faculty fees$9,2001%
- Travel & lodging$97,2045%
- Food & beverage$16,7511%
- Education$2130%
- Entertainment$330%
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(2 entities) | 640 | $1,752,797 |
| Trackx Technology, Inc. | 17 | $24,493 |
| Medtronic(2 entities) | 45 | $1,249 |
| Tricoast Surgical Solutions LLC | 4 | $747 |
| Boston Scientific | 24 | $697 |
| Providence Medical Technology, Inc. | 5 | $378 |
| Orthofix Medical, Inc. | 7 | $345 |
| Curiteva, Inc. | 1 | $218 |
| Arthrex | 4 | $205 |
| Organogenesis Inc. | 1 | $182 |
| Nevro Corp. | 2 | $148 |
| Aesculap, Inc. | 8 | $147 |
| Abbott | 5 | $136 |
| Seaspine Orthopedics Corporation | 1 | $118 |
| Si-bone, Inc. | 3 | $116 |
| Baxter Healthcare | 3 | $110 |
| Alphatec Spine, Inc | 1 | $105 |
| Osteocentric Technologies, Inc. | 1 | $101 |
| Intrinsic Therapeutics | 3 | $85 |
| Stryker | 1 | $49 |
| Surgalign Spine Technologies, Inc. | 2 | $42 |
| Sanara Medtech Inc. | 2 | $40 |
| Cerapedics Inc. | 1 | $34 |
| Imperative Care, Inc | 1 | $24 |
| GT Medical Technologies, Inc | 1 | $22 |
| DJO, LLC | 1 | $19 |
| Brainlab, Inc. | 1 | $18 |
| Kls-martin L.p. | 1 | $15 |
| KARL Storz Endoscopy-america | 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.
- Modulus$767,932
- ALIF$454,397
- XLIF$245,294
- Pulse$221,037
- ELSA$33,168
- Excelsius - GPS$27,298
- TrackX$10,652
- ELSA, ELSA AL/ATP$9,600
- TLIF$8,700
- Bendini$8,250
- DuraPro$3,300
- RISE$2,212
- PRECICE Intramedullary Limb Lengthening System$2,100
- INSTRUMENTS$1,400
- ExcelsiusGPS Robotic Navigation System$981
- Excelsius3D Imaging System$311
- NVM5$300
- INDEPENDENCE$288
- PuraPly$182
- Direct Look$152
How this compares
$1,782,653 in reported general payments places this provider in the 95th percentile of 196 neurological surgery providers in North Carolina.
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 | 16 | $144 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Wilmington
- Jeffrey BeecherWilmington$117K
- Justin CappuzzoWilmington$38K
- Adam BrownWilmington$19K
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- Alexander PowersKernersville$1.7M
- Charles BranchAdvance$1.6M
- Paul KimCharlotte$1.5M
- William HunterGastonia$1.3M
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.