Justine Pearl, MD
Neurological Surgery · Traverse City, MINPI 1093260929
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (29.7%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Globus Medical accounts for 64.6% of it on its own, with 14 other manufacturers making up the rest. 2025 is the largest year on record at $18,912, more than ten times the $55 reported in 2019.
Across 136 payments — averaging $204.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$18K
- Nevro Corp.$7K
- Medtronic$1K
- Si-bone, Inc.$375
- Abbott$350
- SPR Therapeutics, Inc$311
- plus $900 from 9 others
What the payments were for
- Consulting fees$2,84410%
- Speaking & faculty fees$7,09626%
- Travel & lodging$8,23430%
- Food & beverage$6,71624%
- Education$2,86510%
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 | 44 | $17,918 |
| Nevro Corp. | 53 | $6,886 |
| Medtronic | 10 | $1,014 |
| Si-bone, Inc. | 4 | $375 |
| Abbott | 4 | $350 |
| SPR Therapeutics, Inc | 4 | $311 |
| Boston Scientific | 6 | $288 |
| Painteq LLC | 1 | $237 |
| Irras USA, Inc. | 1 | $96 |
| Stryker | 3 | $94 |
| Kls-martin L.p. | 1 | $55 |
| Saluda Medical Americas, Inc. | 1 | $50 |
| Integra Lifesciences Corporation | 2 | $33 |
| Aesculap, Inc. | 1 | $30 |
| Zimmer Biomet | 1 | $17 |
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.
- Senza$16,157
- Vyrsa V1$1,943
- Omnia$1,859
- MAZOR X SYSTEM$628
- Excelsius - GPS$505
- iFuse Implant$292
- PAINTEQ$237
- GENERAL PAIN MANAGEMENT$235
- PROCLAIM$234
- STEALTH AUTOGUIDE SYSTEM$172
- CREO$137
- SPRINT PNS System$107
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$101
How this compares
$27,755 in reported general payments places this provider in the 85th percentile of 256 neurological surgery providers in Michigan.
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 Traverse City
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Vittorio MorrealeShelby Twp$439K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
- Sonia EdenDetroit$329K
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.