Has Justin Smith, MD received payments from drug or device companies?

Yes. Drug and device makers reported $2,315,305 in general payments to Justin Smith, MD across 647 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Justin Smith, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Justin Smith, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Justin Smith, MD

Neurological Surgery · Charlottesville, VANPI 1548463102

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $1,588,414 of the $2,315,305 with a category attached, or 68.6%. 20 manufacturers reported payments, led by Highridge Medical LLC at 29.5% of the total. 2025 is the largest year on record at $729,187, 3.2 times the $231,473 reported in 2019. Among neurological surgery clinicians in VA 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.

$2,315,305in general payments, 2019–2025

Across 647 payments — averaging $3578.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Highridge Medical LLC$684K
Zimmer Biomet$514K
Zimvie Inc.$458K
Orthofix Medical, Inc.$202K
Carlsmed, Inc.$185K
Globus Medical$123K
plus $150K from 14 others

$1,786,259in research payments, 2019–2025

Across 35 payments — averaging $51,036 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.

Medical Device Business Services, Inc.$1.8M

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
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
Medical Device Business Services, Inc.	8	$800
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

$2,315,305 in reported general payments places this provider in the 95th percentile of 156 neurological surgery providers in Virginia.

See all neurological surgery providers in Virginia →

Medicare billing

Part B allowed, 2024

$345,564

Medicare patients

245

Services billed

857

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

Ryan KelloggCharlottesville$245K
Juan Sardi RestrepoCharlottesville$128K
Chun Po YenCharlottesville$90K
Jason SheehanCharlottesville$13K
Dale DingCharlottesville$10K
Pedro Norat Guimaraes Barroso MagnoCharlottesville$7K
William EliasCharlottesville$5K
Shayan MoosaCharlottesville$5K
David VincentVirginia Beach$959K
Mudit SharmaManassas$714K

See the full list for Virginia →

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.

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