Kenneth Rich, MD
Neurological Surgery · Raleigh, NCNPI 1760489967
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $85,272 of the $87,181 with a category attached, or 97.8%. Globus Medical accounts for 98.9% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2020 at $23,759 and has fallen 99.7% since, to $60 in 2025.
Across 42 payments — averaging $2075.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$86K
- Nevro Corp.$421
- Johnson & Johnson$126
- Spineology Inc.$85
- Penumbra, Inc.$59
- Boston Scientific$42
- plus $237 from 8 others
What the payments were for
- Royalty or licence$85,27298%
- Travel & lodging$6241%
- Food & beverage$1,2841%
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(2 entities) | 20 | $86,212 |
| Nevro Corp. | 4 | $421 |
| Johnson & Johnson | 3 | $126 |
| Spineology Inc. | 2 | $85 |
| Penumbra, Inc. | 3 | $59 |
| Boston Scientific | 1 | $42 |
| Xtant Medical Inc | 1 | $41 |
| Integra Lifesciences Corporation | 1 | $39 |
| Baxter Healthcare | 2 | $39 |
| Sonex Health, Inc. | 1 | $33 |
| Route 92 Medical, Inc. | 1 | $26 |
| Si-bone, Inc. | 1 | $25 |
| Abbott | 1 | $21 |
| Orthofix Medical, Inc. | 1 | $15 |
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.
How this compares
$87,181 in reported general payments places this provider in the 80th 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 Raleigh
- Kimberly LivingstonRaleigh$373K
- Takanori FukushimaRaleigh$199K
- Peter GrossiRaleigh$149K
- Laith KhouryRaleigh$80K
- John ButtramRaleigh$46K
- Robert DallapiazzaRaleigh$33K
- Andrey BelayevRaleigh$22K
- Oren GottfriedRaleigh$21K
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
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.