Justin Cappuzzo, MD
Neurological Surgery · Wilmington, NCNPI 1538517164
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (48.2%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Medtronic at 47.4% of the total. 2025 is the largest year on record at $12,612, more than ten times the $621 reported in 2019.
Across 256 payments — averaging $149.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$18K
- Penumbra, Inc.$8K
- Qapel Medical Inc$6K
- Stryker$2K
- Canon Medical Systems USA, Inc.$1K
- Medical Device Business Services, Inc.$775
- plus $2K from 19 others
Across 1 payment — averaging $700.00 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.
- Medtronic$700
What the payments were for
- Consulting fees$8,32822%
- Speaking & faculty fees$18,45048%
- Travel & lodging$5,21414%
- Food & beverage$5,49814%
- Education$7752%
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 | 142 | $18,126 |
| Penumbra, Inc. | 32 | $8,027 |
| Qapel Medical Inc | 4 | $6,362 |
| Stryker | 21 | $1,545 |
| Canon Medical Systems USA, Inc. | 1 | $1,250 |
| Medical Device Business Services, Inc. | 5 | $775 |
| Imperative Care, Inc | 14 | $434 |
| W. L. Gore & Associates, Inc. | 1 | $350 |
| Orthofix Medical, Inc. | 3 | $332 |
| Integra Lifesciences Corporation | 2 | $159 |
| Johnson & Johnson | 3 | $152 |
| Microvention, Inc. | 6 | $134 |
| Si-bone, Inc. | 3 | $126 |
| Globus Medical | 2 | $109 |
| Abbott | 4 | $87 |
| Boston Scientific | 2 | $80 |
| Baxter Healthcare | 3 | $49 |
| Providence Medical Technology, Inc. | 1 | $36 |
| Zimmer Biomet | 1 | $27 |
| Sanara Medtech Inc. | 1 | $21 |
| Kerecis Limited | 1 | $21 |
| Aesculap, Inc. | 1 | $18 |
| GT Medical Technologies, Inc | 1 | $18 |
| Scientia Vascular | 1 | $15 |
| Kls-martin L.p. | 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.
- Pipeline$11,456
- AXIUM PRIMETM$4,550
- Penumbra System$3,570
- Smart Coil$2,400
- Benchmark$1,398
- INTERVENTIONAL ANGIOGRAPHY SYSTEM$1,250
- Product in Development$350
- TARGET$263
- ZOOM 88-T LARGE DISTAL PLATFORM$168
- Spinal-Stim$151
- Penumbra Coil 400$151
- Cervical-Stim Osteogenesis Stimulator$133
- Spinal-Stim Osteogenesis Stimulator$133
- MESA SMALL STATURE SPINAL SYSTEM$131
- CODMAN CERTAS$125
- CUSA CLARITY$125
- DURAGEN$125
- DURASEAL EXACT$125
- CODMAN HAKIM PRECISION VALVE$125
- Embotrap$119
How this compares
$38,266 in reported general payments places this provider in the 75th 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.
Other neurological surgery in Wilmington
- John ThomasWilmington$1.8M
- Jeffrey BeecherWilmington$117K
- 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.