Luis Mignucci, MD
Neurological Surgery · Plano, TXNPI 1407801970
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $184,750 of the $194,744 with a category attached, or 94.9%. CTL Medical Corporation accounts for 97.1% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $104,898 and has fallen 99.5% since, to $519 in 2025. Among neurological surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 191 payments — averaging $1019.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- CTL Medical Corporation$189K
- Abbott$4K
- Nevro Corp.$503
- 7d Surgical Inc.$347
- Johnson & Johnson$147
- Orthofix Medical, Inc.$147
- plus $471 from 7 others
Across 1 payment — averaging $5023.15 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$5K
Across 7 payments — averaging $48,078 each. An ownership or investment interest held by the physician or an immediate family member.
- 4web, Inc.$337K
What the payments were for
- Consulting fees$184,75095%
- Travel & lodging$3,8062%
- Food & beverage$5,1873%
- Gifts$1,0011%
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 |
|---|---|---|
| CTL Medical Corporation | 32 | $189,065 |
| Abbott | 129 | $4,064 |
| Nevro Corp. | 11 | $503 |
| 7d Surgical Inc. | 2 | $347 |
| Johnson & Johnson(2 entities) | 3 | $147 |
| Orthofix Medical, Inc. | 4 | $147 |
| Brainlab, Inc. | 2 | $122 |
| Omniscient Neurotechnology America Ltd | 1 | $114 |
| Providence Medical Technology, Inc. | 1 | $102 |
| Augmedics Inc. | 2 | $52 |
| Kerecis Limited | 1 | $33 |
| Globus Medical | 2 | $30 |
| Arteriocyte Medical Systems, Inc. | 1 | $18 |
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.
- Spinal$6,548
- PROCLAIM$1,415
- Raphael Pedicle Screw System$385
- Proclaim Family of SCS IPGs$283
- Octrode SCS Leads$127
- Quicktome$114
- Proclaim IPG$107
- Trinity ELITE$103
How this compares
$194,744 in reported general payments places this provider in the 90th percentile of 582 neurological surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 49 | $715 |
| Gabapentin | 49 | $510 |
| Methylprednisolone | 49 | $316 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 16 | $238 |
| Tramadol Hcl | 26 | $188 |
| Tizanidine Hcl | 21 | $90 |
| Methocarbamol | 18 | $81 |
| Cyclobenzaprine Hcl | 15 | $50 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Plano
- Rebecca StachniakPlano$561K
- Richard WeinerPlano$225K
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
- Richard MeyratDallas$883K
- Adam LewisCorpus Christi$792K
- Arnold VardimanSan Antonio$687K
- Andrew RoeserHouston$660K
- Scott RobertsonRound Rock$606K
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.