Justin Smith, MD
Neurological Surgery · Charlottesville, VANPI 1548463102
Payments from drug & device makers
Across 682 payments — averaging $6014.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$1.8M
- Highridge Medical LLC$684K
- Zimmer Biomet$514K
- Zimvie Inc.$458K
- Orthofix Medical, Inc.$202K
- Carlsmed, Inc.$185K
- plus $272K from 14 others
What the payments were for
- Royalty or licence$1,588,41469%
- Consulting fees$626,50927%
- Speaking & faculty fees$5000%
- Travel & lodging$82,8374%
- Food & beverage$16,9891%
- Gifts$570%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 43 | $1,787,059 |
| Highridge Medical LLC | 60 | $683,918 |
| Zimmer Biomet | 58 | $513,611 |
| Zimvie Inc. | 29 | $457,762 |
| Orthofix Medical, Inc. | 121 | $202,444 |
| Carlsmed, Inc. | 64 | $184,640 |
| Globus Medical(2 entities) | 114 | $123,366 |
| Medtronic | 74 | $56,969 |
| Seaspine Orthopedics Corporation | 43 | $26,707 |
| Stryker | 37 | $25,810 |
| Cerapedics Inc. | 16 | $22,496 |
| Si-bone, Inc. | 14 | $15,434 |
| Synthes GmbH | 1 | $500 |
| Surgical Theater. Inc. | 2 | $455 |
| Smaio USA Corporation | 1 | $146 |
| Smaio SA | 1 | $93 |
| EBI, LLC | 1 | $56 |
| MML US, Inc. | 1 | $55 |
| Johnson & Johnson | 1 | $29 |
| Providence Medical Technology, Inc. | 1 | $14 |
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.
- Vitality$783,517
- Vital$724,171
- aprevo$184,129
- MISCELLANEOUS$57,776
- Cypher Mis Screw System$49,598
- Mariner$47,982
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$41,001
- Pulse$39,988
- Spine-None$36,025
- XLIF$34,872
- Vital Deformity, Degen, Hooks$33,540
- Mariner Deformity$29,127
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$22,464
- 7D Surgical System$20,823
- Admiral$18,002
- VersaTie$16,550
- IFUSE IMPLANT SYSTEM$15,269
- EVEREST SPINAL SYSTEM$15,216
- Atoll$14,365
- PLIF$14,250
How this compares
$4,101,563 in reported general payments places this provider in the 95th percentile of 156 neurological surgery providers in Virginia.
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 Charlottesville
- William EliasCharlottesville$1M
- Chun Po YenCharlottesville$905K
- Neal KassellCharlottesville$657K
- Ryan KelloggCharlottesville$338K
- Jason SheehanCharlottesville$301K
- Mark ShaffreyCharlottesville$254K
- Juan Sardi RestrepoCharlottesville$128K
- Dale DingCharlottesville$26K
- Pedro Norat Guimaraes Barroso MagnoCharlottesville$7K
- David VincentVirginia Beach$959K
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.