RxDoctor Payments Data

Marshall Tolbert, MD

Neurological Surgery · Reno, NVNPI 1982614988

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $5,653 of the $7,655 with a category attached, or 73.9%. Medtronic accounts for 63.4% of it on its own, with 12 other manufacturers making up the rest.

$7,655in general payments, 2019–2025

Across 206 payments — averaging $37.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$5K
  • Globus Medical$832
  • Abbott$700
  • Ceribell, Inc.$449
  • Accuray Incorporated$296
  • Goode Surgical Inc$173
  • plus $354 from 7 others

What the payments were for

  • Travel & lodging$2,00226%
  • Food & beverage$5,65374%

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

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

$7,655 in reported general payments places this provider in the 55th percentile of 45 neurological surgery providers in Nevada.

See all neurological surgery providers in Nevada

Medicare billing

Part B allowed, 2024
$229,318
Medicare patients
405
Services billed
3,616

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
Cephalexin35$257
Oxycodone Hcl37$161
Gabapentin15$121
Tizanidine Hcl13$83
Tramadol Hcl14$37

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Reno

See the full list for Nevada

Where these figures come from

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