Michael Horgan, MD
Neurological Surgery · Nashua, NHNPI 1922029925
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (47.1%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Integrity Implants Inc. at 30.2% of the total. Reporting peaked in 2021 at $3,223 and has fallen 65.5% since, to $1,113 in 2025.
Across 122 payments — averaging $94.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integrity Implants Inc.$3K
- Stryker$3K
- Camber Spine Technologies LLC$2K
- Spine Wave, Inc.$863
- VB Spine LLC$504
- Medtronic$395
- plus $1K from 10 others
What the payments were for
- Consulting fees$1,60014%
- Travel & lodging$3,56031%
- Food & beverage$5,40347%
- Education$9128%
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 |
|---|---|---|
| Integrity Implants Inc. | 17 | $3,470 |
| Stryker | 43 | $3,372 |
| Camber Spine Technologies LLC | 1 | $1,600 |
| Spine Wave, Inc. | 22 | $863 |
| VB Spine LLC | 8 | $504 |
| Medtronic(2 entities) | 6 | $395 |
| Globus Medical | 4 | $333 |
| Si-bone, Inc. | 8 | $257 |
| Boston Scientific | 4 | $205 |
| Providence Medical Technology, Inc. | 1 | $144 |
| Integrity Implants Inc. Dba Accelus | 2 | $135 |
| Arteriocyte Medical Systems, Inc. | 1 | $73 |
| Spinal Simplicity, LLC | 1 | $55 |
| Orthofix Medical, Inc. | 2 | $31 |
| CSL Behring | 1 | $20 |
| Neo Spine USA, Inc. | 1 | $18 |
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.
- FlareHawk$1,931
- Spira-V$1,600
- EVEREST SPINAL SYSTEM$849
- YUKON OCT SPINAL SYSTEM$594
- OZARK CERVICAL PLATE SYSTEM$594
- SERRATO$297
- Excelsius - GPS$259
- XIA 3$184
- SACROILIAC JOINT FUSION SYSTEM$166
- WaveWriter Alpha Prime 16$147
- AIRO$112
- TRITANIUM$111
- XIA 3 SYSTEM - SERRATO$109
- O-ARM-Spine$102
- TRITANIUM PL$102
- iFuse Implant$101
How this compares
$11,475 in reported general payments places this provider in the 75th percentile of 32 neurological surgery providers in New Hampshire.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone Hcl | 14 | $77 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Nashua
- Tung NguyenNashua$52K
- Eric ChangNashua$6K
- Katharine CronkNashua$2K
- Nevan BaldwinLebanon$214K
- Joshua AronsonLebanon$78K
- Anthony SalerniGilford$64K
- Alexander GambleBedford$23K
- Xiaonan SunLebanon$21K
- David KungLebanon$12K
- Murray EchtLebanon$11K
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.