John Touliatos, MD
Surgery · Birmingham, ALNPI 1194701201
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (31.5%), travel and lodging and education — rather than concentrated in one kind of arrangement. 46 manufacturers reported payments, led by Globus Medical at 53.7% of the total. 2025 is the largest year on record at $31,464, 2.7 times the $11,615 reported in 2019. Among surgery clinicians in AL 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 287 payments — averaging $261.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$40K
- Intuitive Surgical$18K
- Intra-sana Laboratories$6K
- Medtronic$2K
- Baxter Healthcare$2K
- Prime Surgical, LLC$2K
- plus $5K from 40 others
What the payments were for
- Consulting fees$23,57531%
- Speaking & faculty fees$7,57510%
- Travel & lodging$23,09731%
- Food & beverage$9,70913%
- Education$11,00015%
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.
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.
- ALIF$23,877
- Da Vinci Surgical System$14,760
- Excelsius - GPS$10,157
- Reltone 200 Mg$5,360
- GLYCATE$5,360
- Reltone 400 Mg$5,360
- Traverse$3,480
- DAVINCI XI$1,500
- Signia$1,359
- PERI-STRIPS DRY$1,247
- TISSEEL$1,247
- Other - Miscellaneous$1,240
- FLOSEAL$1,125
- XLIF$540
- SEPRAFILM$500
- Phasix Mesh$252
- ECHELON ENDOPATH$240
- Harmonic$240
- LINX Reflux Management System$227
- Echelon Endopath Staple Line Reinforcement$208
How this compares
$74,956 in reported general payments places this provider in the 95th percentile of 382 surgery providers in Alabama.
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 |
|---|---|---|
| EntrestoSacubitril/Valsartan | 11 | $7,603 |
| EliquisApixaban | 11 | $6,575 |
| Ondansetron OdtOndansetron | 31 | $1,075 |
| Omeprazole | 63 | $998 |
| Divalproex Sodium ErDivalproex Sodium | 11 | $525 |
| Pantoprazole Sodium | 41 | $505 |
| Digoxin | 11 | $480 |
| Sucralfate | 16 | $416 |
| Carvedilol | 11 | $305 |
| Sertraline Hcl | 11 | $254 |
| Donepezil Hcl | 11 | $237 |
| Ondansetron Hcl | 11 | $99 |
Paid to pharmacies, not to this prescriber.
Other surgery in Birmingham
- Cameron AskewBirmingham$236K
- Jayme LockeBirmingham$63K
- Eric DuboisBirmingham$36K
- Sherry MeltonBirmingham$29K
- Wesley DesselleBirmingham$21K
- Boris KiriazovBirmingham$17K
- Adam BeckBirmingham$17K
- Kristen WongBirmingham$11K
- Cynthia HlavacekBirmingham$9K
- Naveen SinganamalaBirmingham$9K
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.