Melissa Macias
Neurological Surgery · Rockford, ILNPI 1710044383
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $464,176 of the $529,222 with a category attached, or 87.7%. Alphatec Spine, Inc accounts for 99.9% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $135,627, 4.9 times the $27,869 reported in 2019. Among neurological surgery clinicians in IL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 102 payments — averaging $5188.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$529K
- Baxter Healthcare$87
- Seaspine Orthopedics Corporation$60
- Medtronic$58
- AbbVie$45
- Brainlab, Inc.$36
- plus $72 from 4 others
What the payments were for
- Royalty or licence$464,17688%
- Consulting fees$56,37511%
- Travel & lodging$7,8361%
- Food & beverage$8350%
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 |
|---|---|---|
| Alphatec Spine, Inc | 89 | $528,864 |
| Baxter Healthcare | 3 | $87 |
| Seaspine Orthopedics Corporation | 1 | $60 |
| Medtronic | 2 | $58 |
| AbbVie | 2 | $45 |
| Brainlab, Inc. | 1 | $36 |
| Johnson & Johnson | 1 | $29 |
| Avanos Medical | 1 | $17 |
| Lilly USA, LLC | 1 | $15 |
| Abbott | 1 | $11 |
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.
- IdentiTi$265,007
- INVICTUS OPEN$242,617
- Other - Miscellaneous$138,183
- PLIF$12,500
- TLIF$12,500
- POROUS TITANIUM PLIF$1,872
- Cervical$325
How this compares
$529,222 in reported general payments places this provider in the 95th percentile of 302 neurological surgery providers in Illinois.
Other neurological surgery in Rockford
- Tyler KoskiChicago$2.3M
- Vincent TraynelisChicago$1.8M
- Sergey NeckryshChicago$1.6M
- Russell NockelsArlington Heights$1.4M
- Bruce FrankelSpringfield$1.3M
- Richard FesslerChicago$910K
- Julian BailesEvanston$666K
- John OtooleChicago$593K
- Patrick SugruePark Ridge$571K
- Fady CharbelChicago$507K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.