Nathan Pratt, MD
Neurological Surgery · Seattle, WANPI 1487071841
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (53.7%), food and beverage and education — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Globus Medical at 42.7% of the total. Reporting peaked in 2022 at $5,452 and has fallen 75.1% since, to $1,359 in 2025.
Across 143 payments — averaging $93.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$6K
- Medical Device Business Services, Inc.$4K
- Johnson & Johnson$1K
- Stryker$973
- Medtronic$466
- Si-bone, Inc.$243
- plus $808 from 5 others
What the payments were for
- Travel & lodging$7,16054%
- Food & beverage$5,92644%
- Education$2552%
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(2 entities) | 84 | $5,690 |
| Medical Device Business Services, Inc. | 11 | $3,963 |
| Johnson & Johnson | 18 | $1,198 |
| Stryker | 8 | $973 |
| Medtronic | 8 | $466 |
| Si-bone, Inc. | 4 | $243 |
| Providence Medical Technology, Inc. | 4 | $229 |
| Alafair Biosciences, Inc. | 3 | $192 |
| Longeviti Neuro Solutions Inc | 1 | $144 |
| Bioventus LLC | 1 | $138 |
| Innovasis Inc | 1 | $105 |
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.
- ELSA$1,474
- ELSA, ELSA AL/ATP$950
- Excelsius3D Imaging System$648
- EVEREST SPINAL SYSTEM$310
- CAPRI CORPECTOMY CAGE SYSTEM$167
- YUKON OCT SPINAL SYSTEM$150
- VersaWrap$147
- CLEARFIT$144
- ALTERA$141
- BoneScalpel$138
- X-Core Mini$135
- RELINE$135
- Bendini$135
- CONDUIT$126
- SYMPHONY$125
- Teligen$120
- T-PLIF$118
- MAZOR X SYSTEM$110
- Excelsius Robotics System$108
- ENDOSKELETON TL NANOLOCK SURFACE TECHNOLOGY$104
How this compares
$13,341 in reported general payments places this provider in the 80th percentile of 175 neurological surgery providers in Washington.
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 | 19 | $220 |
| Methocarbamol | 17 | $195 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $185 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $117 |
| Tramadol Hcl | 16 | $72 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Seattle
- Rod OskouianSeattle$2.4M
- Christoph HofstetterSeattle$768K
- Stephen MonteithSeattle$151K
- Jean-Christophe LevequeSeattle$120K
- Vijay YanamadalaSeattle$85K
- Hoan Vu TranSeattle$78K
- Martin RutkowskiSeattle$62K
- Bailey ZampellaSeattle$38K
- Melanie WalkerSeattle$38K
- Elias EliasSeattle$35K
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.