Michael Labagnara
Neurological Surgery · Memphis, TNNPI 1881094357
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $21,563 of the $28,281 with a category attached, or 76.2%. Medtronic accounts for 80.0% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $10,876 and has fallen 98.8% since, to $128 in 2025.
Across 66 payments — averaging $428.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$23K
- Globus Medical$4K
- Zimmer Biomet$579
- Medicrea USA, Corp.$196
- Xtant Medical Inc$163
- Si-bone, Inc.$149
- plus $326 from 5 others
What the payments were for
- Consulting fees$21,56376%
- Travel & lodging$3,51212%
- Food & beverage$3,20711%
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) | 33 | $22,624 |
| Globus Medical(2 entities) | 19 | $4,243 |
| Zimmer Biomet | 5 | $579 |
| Medicrea USA, Corp. | 1 | $196 |
| Xtant Medical Inc | 1 | $163 |
| Si-bone, Inc. | 1 | $149 |
| Centinel Spine, LLC | 1 | $103 |
| Penumbra, Inc. | 1 | $101 |
| Integra Lifesciences Corporation | 1 | $70 |
| Boston Scientific | 2 | $29 |
| Zimvie Inc. | 1 | $24 |
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.
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$4,713
- CD HORIZON$4,608
- CD HORIZON SPINAL SYSTEM$3,250
- Excelsius - GPS$2,344
- ANATOMIC PEEK PTC CERVICAL FUSION SYSTEM$1,625
- CLYDESDALE PTC SPINAL SYSTEM$1,625
- RELINE$1,338
- STEALTHSTATION S8 PLATFORM$650
- PASS-LP$196
- UNiD$196
- MazorX - Renaissance$157
- iFuse Implant$149
- 1.5mm Neuro$144
- Vital$133
- Mobi-C$133
- ROSA$124
- CREO MCS$124
- ELSA$114
- Walter$108
- PRODISC L$103
How this compares
$28,281 in reported general payments places this provider in the 75th percentile of 156 neurological surgery providers in Tennessee.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $649 |
| Gabapentin | 66 | $601 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 24 | $524 |
| Methocarbamol | 14 | $333 |
| Methylprednisolone | 15 | $120 |
| Pregabalin | 12 | $81 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Memphis
- Kevin FoleyMemphis$162.4M
- Maurice SmithMemphis$4.4M
- Adam ArthurMemphis$1.9M
- Paul ParkMemphis$1.2M
- Daniel HoitMemphis$607K
- Jason GerrardMemphis$112K
- Earl JonesMemphis$59K
- Demi DawkinsMemphis$56K
- Isaac PomeraniecMemphis$56K
- Kyle SmithMemphis$48K
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.