Jonathan Garst, MD
Neurological Surgery · Greensboro, NCNPI 1811423940
Payments from drug & device makers
What this record shows
Globus Medical accounts for 68.4% of it on its own, with 8 other manufacturers making up the rest. 2025 is the largest year on record at $1,551, more than ten times the $120 reported in 2022. That places this record below the midpoint for neurological surgery clinicians in NC, where the typical reported total is $4,651.
Across 23 payments — averaging $94.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$1K
- Medtronic$256
- Alphatec Spine, Inc$151
- Stryker$120
- Providence Medical Technology, Inc.$54
- Elite Orthopedics, LLC$39
- plus $70 from 3 others
What the payments were for
- Travel & lodging$1,14152%
- Food & beverage$1,03848%
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 | 11 | $1,491 |
| Medtronic | 4 | $256 |
| Alphatec Spine, Inc | 1 | $151 |
| Stryker | 1 | $120 |
| Providence Medical Technology, Inc. | 1 | $54 |
| Elite Orthopedics, LLC | 1 | $39 |
| Si-bone, Inc. | 1 | $29 |
| Augmedics Inc. | 2 | $26 |
| Boston Scientific | 1 | $15 |
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
$2,179 in reported general payments places this provider in the 35th 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 |
|---|---|---|
| Oxycodone Hcl | 13 | $173 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Greensboro
- Henry ElsnerGreensboro$54K
- Randy KritzerGreensboro$21K
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- John ThomasWilmington$1.8M
- 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.