Justin Fraser, MD
Neurological Surgery · Lexington, KYNPI 1427215094
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (39.5%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Penumbra, Inc. at 47.5% of the total. Reporting peaked in 2019 at $3,767 and has fallen 92.3% since, to $292 in 2024.
Across 58 payments — averaging $165.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Medical Device Business Services, Inc.$1K
- Stryker$1K
- Microvention, Inc.$986
- Viz.ai, Inc.$440
- Qapel Medical Inc$262
- plus $636 from 7 others
Across 153 payments — averaging $3928.39 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$337K
- Stryker$170K
- Penumbra, Inc.$86K
- Medical Device Business Services, Inc.$8K
What the payments were for
- Consulting fees$1952%
- Speaking & faculty fees$2,40025%
- Travel & lodging$3,78640%
- Food & beverage$3,19233%
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 |
|---|---|---|
| Penumbra, Inc. | 17 | $4,546 |
| Medical Device Business Services, Inc. | 16 | $1,500 |
| Stryker | 8 | $1,204 |
| Microvention, Inc. | 3 | $986 |
| Viz.ai, Inc. | 4 | $440 |
| Qapel Medical Inc | 1 | $262 |
| Imperative Care, Inc | 2 | $223 |
| Medtronic | 2 | $164 |
| Irras USA, Inc. | 1 | $111 |
| Johnson & Johnson | 1 | $68 |
| Genentech, Inc. | 1 | $25 |
| Balt USA, LLC | 1 | $23 |
| Asahi Intecc USA, Inc. | 1 | $22 |
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.
- Artemis$2,879
- Penumbra System$2,853
- FLOWGATE$1,004
- WEB$951
- EMBOGUARD$585
- Viz.AI LVO$324
- Pipeline$151
- ZOOM REPERFUSION CATHETER$125
- ZOOM 88-T LARGE DISTAL PLATFORM$125
- Penumbra Jet 7$101
How this compares
$9,573 in reported general payments places this provider in the 70th percentile of 99 neurological surgery providers in Kentucky.
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 |
|---|---|---|
| BrilintaTicagrelor | 14 | $6,162 |
| ClopidogrelClopidogrel Bisulfate | 50 | $334 |
| Prednisone | 15 | $36 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lexington
- Matthew TuttLexington$64K
- Craig VanhorneLexington$64K
- Christian RamseyLexington$35K
- David DornbosLexington$35K
- Saman SizdahkhaniLexington$29K
- Rouzbeh Motiei LangroudiLexington$25K
- Ryan HoflerLexington$12K
- Justin HilliardLexington$8K
- John GilbertLexington$4K
- Nessa TimoneyLexington$4K
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.