Paul Apostolides, MD
Neurological Surgery · Greenwich, CTNPI 1265403927
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $3,280 of the $4,558 with a category attached, or 72.0%. Globus Medical accounts for 90.8% of it on its own, with 2 other manufacturers making up the rest. Reporting peaked in 2019 at $1,352 and has fallen 82.3% since, to $240 in 2025.
Across 40 payments — averaging $113.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$4K
- Stryker$355
- DJO, LLC$63
What the payments were for
- Royalty or licence$3,28072%
- Food & beverage$1,27828%
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 | 35 | $4,140 |
| Stryker | 3 | $355 |
| DJO, LLC | 2 | $63 |
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
$4,558 in reported general payments places this provider in the 55th percentile of 94 neurological surgery providers in Connecticut.
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 |
|---|---|---|
| Methylprednisolone | 129 | $868 |
| Pregabalin | 24 | $367 |
| Cyclobenzaprine Hcl | 42 | $139 |
| Prednisone | 33 | $136 |
| Diazepam | 11 | $34 |
| Tramadol Hcl | 13 | $23 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Greenwich
- Zion ZiblyGreenwich$5K
- Andrea DouglasGreenwich$4K
- Mohamed Akli ZetchiGreenwich$3K
- Amory FioreGreenwich$2K
- John StrugarGreenwich$2K
- Murat GunelNew Haven$839K
- Sanjay RathiNorth Haven$541K
- Patrick SenatusSouth Windsor$309K
- Ahmed KhanNew Britain$250K
- Abraham MintzShelton$204K
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.