Paul Gigante, MD
Neurological Surgery · Livingston, NJNPI 1609026145
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $10,623 of the $16,687 with a category attached, or 63.7%. 14 manufacturers reported payments, led by Stryker at 26.4% of the total. Reporting peaked in 2019 at $4,975 and has fallen 81.5% since, to $923 in 2025.
Across 216 payments — averaging $77.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Alphatec Spine, Inc$4K
- Abbott$3K
- Boston Scientific$2K
- Medtronic$1K
- Nevro Corp.$623
- plus $917 from 8 others
What the payments were for
- Consulting fees$1,3508%
- Travel & lodging$4,71428%
- Food & beverage$10,62364%
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 |
|---|---|---|
| Stryker | 34 | $4,407 |
| Alphatec Spine, Inc | 22 | $3,525 |
| Abbott | 39 | $3,348 |
| Boston Scientific | 72 | $2,424 |
| Medtronic(2 entities) | 23 | $1,443 |
| Nevro Corp. | 15 | $623 |
| Integrity Implants Inc. | 1 | $487 |
| Biotronik NRO, Inc. | 3 | $223 |
| Royal Biologics, Inc. | 1 | $69 |
| Ossdsign USA Incorporated | 1 | $54 |
| Cranial Technologies, Inc | 2 | $30 |
| VB Spine LLC | 1 | $20 |
| Globus Medical | 1 | $18 |
| Zimmer Biomet | 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.
- TRITANIUM$3,420
- Other - Miscellaneous$2,758
- INFINITY$1,303
- SERRATO$1,108
- AERO$868
- ES2$868
- GENERAL DBS$682
- Infinity DBS Pulse Generators$645
- VECTRIS$345
- Neuromodulation Dspsbls and Accs$276
- INTELLIS$153
- Proclaim IPG$138
- Omnia$137
- PERCEPT PC BRAINSENSE$131
- Prospera$126
- ETERNA$108
- VERCISE$106
How this compares
$16,687 in reported general payments places this provider in the 80th percentile of 174 neurological surgery providers in New Jersey.
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.
Other neurological surgery in Livingston
- James LiuLivingston$29K
- Robert HearyNewark$1M
- Harshpal SinghHackensack$677K
- Ira GoldsteinMontclair$344K
- Karthik MadhavanCherry Hill$291K
- Simon SalernoWall Township$275K
- Shabbar DanishNeptune$267K
- Adam LipsonUnion$187K
- Mohammed KhanOradell$178K
- Steven YocomCamden$153K
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.