RxDoctor Payments Data

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.

$194,744in general payments, 2019–2025

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
$5,023in research payments, 2019–2025

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
$336,546in ownership & investment interests, 2019–2025

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

19
20
21
22
23
24
25

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.

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

$194,744 in reported general payments places this provider in the 90th percentile of 582 neurological surgery providers in Texas.

See all neurological surgery providers in Texas

Medicare billing

Part B allowed, 2024
$186,979
Medicare patients
207
Services billed
1,268

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

DrugClaimsCost to plans & patients
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen49$715
Gabapentin49$510
Methylprednisolone49$316
Acetaminophen-CodeineAcetaminophen With Codeine16$238
Tramadol Hcl26$188
Tizanidine Hcl21$90
Methocarbamol18$81
Cyclobenzaprine Hcl15$50

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Plano

See the full list for Texas

Where these figures come from

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