Mariel Szapiel, MD
Neurological Surgery · Kissimmee, FLNPI 1639387335
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (52.6%), travel and lodging and education — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Medtronic at 25.5% of the total. 2025 is the largest year on record at $4,355, 6.0 times the $732 reported in 2019.
Across 124 payments — averaging $88.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Boston Scientific$2K
- Insightec,inc$2K
- Globus Medical$1K
- DIXI Medical USA Corp$833
- Clearpoint Neuro, Inc.$812
- plus $2K from 19 others
What the payments were for
- Speaking & faculty fees$130%
- Travel & lodging$5,07546%
- Food & beverage$5,76953%
- Education$771%
- Entertainment$420%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Medtronic(2 entities) | 34 | $2,799 |
| Boston Scientific | 16 | $1,717 |
| Insightec,inc | 11 | $1,517 |
| Globus Medical | 6 | $1,208 |
| DIXI Medical USA Corp | 1 | $833 |
| Clearpoint Neuro, Inc. | 5 | $812 |
| Neuropace, Inc. | 12 | $565 |
| Abbott | 4 | $250 |
| Integra Lifesciences Corporation | 11 | $217 |
| Si-bone, Inc. | 4 | $195 |
| Nevro Corp. | 3 | $194 |
| Livanova USA, Inc. | 1 | $133 |
| Omniscient Neurotechnology America Ltd | 1 | $124 |
| Stryker | 2 | $76 |
| Smith+Nephew | 2 | $51 |
| Orthofix Medical, Inc. | 2 | $44 |
| Brainlab, Inc. | 1 | $44 |
| Flowonix Medical Incorporated | 1 | $42 |
| Zimmer Biomet | 1 | $39 |
| AbbVie | 1 | $33 |
| Catalyst Pharmaceuticals, Inc. | 1 | $26 |
| UCB, Inc. | 1 | $16 |
| GT Medical Technologies, Inc | 1 | $15 |
| AstraZeneca | 1 | $14 |
| Irras USA, Inc. | 1 | $13 |
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.
- Exablate$1,072
- WaveWriter Alpha Prime 16$948
- ACTIVA PC$940
- XLIF$938
- STEALTHSTATION S8 PLATFORM$763
- CLEARPOINT$671
- PERCEPT PC BRAINSENSE$154
- INTELLIS ADAPTIVESTIM$138
- Omnia$137
- VNS Therapy$133
- Quicktome$124
- VERCISE$118
- RNS System$108
How this compares
$10,975 in reported general payments places this provider in the 60th percentile of 556 neurological surgery providers in Florida.
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 Kissimmee
- Stephen ParkerJacksonville$18.7M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
- Kim ManwaringOrlando$5M
- Paul SawinWinter Park$3M
- John MainOcala$2.8M
- Michael WangMiami$2.2M
- Andrew CannestraJacksonville$1.6M
- Rohit VasanTampa$1.5M
- Wilson AsforaMiami$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.