Michael Fromke, MD
Neurological Surgery · Fort Myers, FLNPI 1144208406
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,383 of the $3,152 with a category attached, or 75.6%. Globus Medical accounts for 64.7% of it on its own, with 14 other manufacturers making up the rest. That places this record below the midpoint for neurological surgery clinicians in FL, where the typical reported total is $5,245.
Across 42 payments — averaging $75.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$2K
- Medtronic$199
- Choice Spine, LLC$173
- Boston Scientific$146
- Medical Device Business Services, Inc.$137
- Vertiflex, Inc.$105
- plus $352 from 9 others
What the payments were for
- Travel & lodging$58819%
- Food & beverage$2,38376%
- Education$1374%
- Gifts$441%
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 |
|---|---|---|
| Globus Medical | 22 | $2,040 |
| Medtronic(2 entities) | 5 | $199 |
| Choice Spine, LLC | 1 | $173 |
| Boston Scientific | 1 | $146 |
| Medical Device Business Services, Inc. | 1 | $137 |
| Vertiflex, Inc. | 1 | $105 |
| Life Spine, Inc. | 1 | $77 |
| Actelion Pharmaceuticals US, Inc. | 3 | $54 |
| Kuros Biosciences USA, Inc | 1 | $48 |
| Integrity Implants Inc. | 1 | $44 |
| Johnson & Johnson | 1 | $34 |
| Abbott | 1 | $30 |
| DJO, LLC | 1 | $27 |
| Contego Medical, Inc | 1 | $22 |
| Mylan Specialty L.p. | 1 | $15 |
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
$3,152 in reported general payments places this provider in the 40th 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 Fort Myers
- Jeffrey HennFort Myers$237K
- Reginald DavisFort Myers$211K
- 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
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.