Neal Luther, MD
Neurological Surgery · Bedford, NHNPI 1366694895
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 46 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 18 manufacturers, the largest accounting for just 19.3% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $748, 2.3 times the $329 reported in 2019. That places this record below the midpoint for neurological surgery clinicians in NH, where the typical reported total is $2,435.
Across 46 payments — averaging $48.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Abbott$434
- Stryker$345
- Alphatec Spine, Inc$277
- Acuity Surgical Devices, LLC$207
- Boston Scientific$181
- Medtronic$169
- plus $637 from 12 others
What the payments were for
- Food & beverage$2,21198%
- Education$382%
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 |
|---|---|---|
| Abbott | 11 | $434 |
| Stryker | 5 | $345 |
| Alphatec Spine, Inc | 4 | $277 |
| Acuity Surgical Devices, LLC | 1 | $207 |
| Boston Scientific | 7 | $181 |
| Medtronic | 3 | $169 |
| AbbVie | 4 | $134 |
| Orthofix Medical, Inc. | 1 | $123 |
| Medexus Pharma, Inc. | 1 | $118 |
| Johnson & Johnson | 1 | $55 |
| Globus Medical | 1 | $47 |
| Cerapedics Inc. | 1 | $33 |
| Biocomposites Inc | 1 | $30 |
| Radius Health, Inc. | 1 | $22 |
| Scilex Pharmaceuticals Inc. | 1 | $21 |
| CSL Behring | 1 | $20 |
| Nevro Corp. | 1 | $19 |
| Collegium Pharmaceutical, Inc. | 1 | $16 |
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
$2,249 in reported general payments places this provider in the 45th 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 |
|---|---|---|
| Levetiracetam | 17 | $356 |
| Diclofenac Sodium | 11 | $122 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Bedford
- Alexander GambleBedford$23K
- Kota KaranthBedford$4K
- Paul WangBedford$1K
- Nigel JenkinsBedford$121
- Nevan BaldwinLebanon$214K
- Joshua AronsonLebanon$78K
- Anthony SalerniGilford$64K
- Tung NguyenNashua$52K
- Xiaonan SunLebanon$21K
- David KungLebanon$12K
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.