Luke Macyszyn, MD
Neurological Surgery · Marina del Rey, CANPI 1225291842
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $127,927 of the $177,903 with a category attached, or 71.9%. 38 manufacturers reported payments, led by Zimmer Biomet at 45.9% of the total. Reporting peaked in 2020 at $69,400 and has fallen 98.1% since, to $1,288 in 2025. Among neurological surgery clinicians in CA 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 396 payments — averaging $449.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$82K
- Medical Device Business Services, Inc.$19K
- Orthofix Medical, Inc.$13K
- Globus Medical$13K
- Johnson & Johnson$11K
- Depuy Synthes Products, Inc.$9K
- plus $33K from 32 others
Across 2 payments — averaging $4631.25 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.
- Orthofix Medical, Inc.$9K
What the payments were for
- Consulting fees$127,92772%
- Speaking & faculty fees$1,0001%
- Travel & lodging$27,69216%
- Food & beverage$17,76410%
- Gifts$880%
- Other$3,4322%
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 |
|---|---|---|
| Zimmer Biomet | 88 | $81,622 |
| Medical Device Business Services, Inc. | 18 | $18,850 |
| Orthofix Medical, Inc. | 21 | $12,615 |
| Globus Medical(2 entities) | 77 | $12,605 |
| Johnson & Johnson(3 entities) | 82 | $10,558 |
| Depuy Synthes Products, Inc. | 10 | $9,029 |
| Medicrea USA, Corp. | 6 | $8,272 |
| Brainlab, Inc. | 10 | $7,562 |
| Prosidyan, Inc | 2 | $4,888 |
| Integrity Implants Inc. | 15 | $2,058 |
| Saxum Surgical, Inc. | 7 | $1,660 |
| Mirus, LLC | 2 | $1,447 |
| Arthrex | 15 | $1,365 |
| Kyocera Medical Technologies, Inc. | 2 | $956 |
| Alphatec Spine, Inc | 2 | $645 |
| Spineart USA Inc | 3 | $543 |
| Stryker | 4 | $539 |
| Medtronic | 5 | $423 |
| Cerapedics Inc. | 2 | $405 |
| Adcura, Inc. | 2 | $349 |
| Happe Spine | 1 | $276 |
| Carbofix Spine Inc | 1 | $171 |
| Intrinsic Therapeutics | 1 | $150 |
| Highridge Medical LLC | 1 | $146 |
| Nalu Medical, Inc. | 4 | $131 |
| Innovasis Inc | 1 | $96 |
| Stimwave Technologies Incorporated | 1 | $94 |
| Ziehm-orthoscan, Inc.(2 entities) | 2 | $72 |
| Misonix Inc | 1 | $66 |
| Integrity Implants Inc. Dba Accelus | 1 | $63 |
| Surgical Theater. Inc. | 1 | $59 |
| Radius Health, Inc. | 2 | $45 |
| Boston Scientific | 1 | $30 |
| Baxter Healthcare | 1 | $29 |
| Vertex | 1 | $28 |
| Abbott | 1 | $20 |
| Lemaitre Vascular, Inc. | 1 | $17 |
| Aesculap, Inc. | 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.
- EXPEDIUM$23,038
- VIPER$21,708
- Vital MIS$18,150
- PD-Spine-New Product$16,947
- Mobi-C$15,642
- Vital Deformity$14,850
- TrellOss$14,850
- The Tether$14,850
- PASS-LP$8,194
- UNiD$8,194
- Vital$7,683
- Walter$7,651
- Pulse$5,976
- ROSA-One-Spine$5,700
- STRATAFIX$5,263
- DERMABOND$5,150
- Fibergraft BG Matrix$4,800
- Connected Health-MyMobility$3,450
- DERMABOND PRINEO$3,203
- VICRYL$2,475
How this compares
$177,903 in reported general payments places this provider in the 90th percentile of 773 neurological surgery providers in California.
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 Marina del Rey
- Christopher AmesSan Francisco$7.1M
- Larry KhooLos Angeles$2.8M
- Samy AbdouSan Diego$2.4M
- Bret AbshireMurrieta$2.3M
- William TaylorSan Diego$2.1M
- Tooraj GravoriEncino$2M
- Ali MesiwalaRancho Cucamonga$1.5M
- Joseph OsorioSan Diego$1.3M
- Ian JohnsonFresno$1.3M
- Aaron Cohen-GadolLos Angeles$1.3M
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.