Michael Musacchio, MD
Neurological Surgery · Evanston, ILNPI 1306036876
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $190,164 of the $274,103 with a category attached, or 69.4%. Medtronic accounts for 69.6% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2021 at $72,372 and has fallen 66.1% since, to $24,551 in 2025. 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 267 payments — averaging $1026.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$191K
- Intrinsic Therapeutics$77K
- Globus Medical$6K
- Spineart USA Inc$605
- Axis Spine Technologies Inc.$411
- Providence Medical Technology, Inc.$134
- plus $128 from 2 others
Across 78 payments — averaging $7145.30 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Spineart USA Inc$173K
- Intrinsic Therapeutics$166K
- Globus Medical$106K
- Spineart SA$103K
- Surgalign Spine Technologies, Inc.$5K
- Centinel Spine, LLC$4K
What the payments were for
- Consulting fees$57,94021%
- Speaking & faculty fees$190,16469%
- Travel & lodging$18,0167%
- Food & beverage$7,9833%
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) | 164 | $190,708 |
| Intrinsic Therapeutics | 87 | $76,551 |
| Globus Medical(2 entities) | 6 | $5,565 |
| Spineart USA Inc | 1 | $605 |
| Axis Spine Technologies Inc. | 2 | $411 |
| Providence Medical Technology, Inc. | 2 | $134 |
| Aesculap Implant Systems, LLC | 4 | $95 |
| Johnson & Johnson | 1 | $33 |
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.
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$89,617
- PIVOX Oblique Lateral Spinal System$62,389
- CD HORIZON SPINAL SYSTEM$34,358
- Barricaid Annular Closure Device$22,760
- CRESCENT$18,681
- CD HORIZON$14,684
- DIVERGENCE-L ANTERIOR/OBLIQUE LUMBAR FUSION SYSTEM$9,550
- DIVERGENCE-L$7,765
- Simplify Cervical Artificial Disc$4,857
- STEALTHSTATION S8 PLATFORM$3,713
- INFINITY OCCIPITOCERVICAL UPPER THORACIC SYSTEM$3,250
- O-ARM-ST$2,500
- CAPSTONE$1,455
- Perla TL$605
- GRAFTONAND GRAFTON PLUSDEMINERALIZED BONE MATRIX (DBM)$437
- AXIS-ALIF$375
- POWEREASE INSTRUMENTS$220
- MAZOR X SYSTEM$198
- Mazor X Stealth Edition$170
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$144
How this compares
$274,103 in reported general payments places this provider in the 95th percentile of 302 neurological surgery providers in Illinois.
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 |
|---|---|---|
| Gabapentin | 53 | $607 |
| Celecoxib | 28 | $591 |
| Methylprednisolone | 78 | $392 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $361 |
| Tizanidine Hcl | 40 | $292 |
| Mupirocin | 36 | $238 |
| Tramadol Hcl | 18 | $42 |
| Meloxicam | 22 | $35 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Evanston
- Julian BailesEvanston$666K
- William AresEvanston$79K
- Tyler KoskiChicago$2.3M
- Vincent TraynelisChicago$1.8M
- Sergey NeckryshChicago$1.6M
- Russell NockelsArlington Heights$1.4M
- Bruce FrankelSpringfield$1.3M
- Richard FesslerChicago$910K
- John OtooleChicago$593K
- Patrick SugruePark Ridge$571K
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.