Peter Sylvester
Neurological Surgery · Saint Louis, MONPI 1538574538
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (56.6%), food and beverage and education — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Medtronic at 27.6% of the total. Reporting peaked in 2019 at $4,994 and has fallen 70.0% since, to $1,499 in 2025.
Across 150 payments — averaging $76.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$3K
- Alphatec Spine, Inc$2K
- Stryker$2K
- Aesculap, Inc.$2K
- Abbott$425
- Centinel Spine, LLC$232
- plus $1K from 19 others
What the payments were for
- Travel & lodging$6,52157%
- Food & beverage$4,69241%
- Education$3093%
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) | 70 | $3,182 |
| Alphatec Spine, Inc | 16 | $2,408 |
| Stryker | 15 | $2,168 |
| Aesculap, Inc. | 12 | $1,959 |
| Abbott | 10 | $425 |
| Centinel Spine, LLC | 2 | $232 |
| Globus Medical(2 entities) | 4 | $223 |
| Cumberland Pharmaceuticals, Inc. | 2 | $162 |
| Nevro Corp. | 1 | $130 |
| Axogen | 1 | $128 |
| Cerapedics Inc. | 2 | $121 |
| Providence Medical Technology, Inc. | 2 | $93 |
| Bioventus LLC | 1 | $44 |
| Johnson & Johnson | 1 | $42 |
| Integra Lifesciences Corporation | 1 | $32 |
| Biotronik NRO, Inc. | 1 | $20 |
| Elite Orthopedics, LLC | 1 | $20 |
| Augmedics Inc. | 1 | $19 |
| AbbVie | 1 | $19 |
| Boston Scientific | 1 | $17 |
| Convatec Inc. | 1 | $16 |
| Innovation Technologies Inc | 1 | $16 |
| Corelink, LLC | 1 | $16 |
| Baxter Healthcare | 1 | $15 |
| AstraZeneca | 1 | $13 |
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.
- YASARGIL ANEURYSM CLIPS$1,813
- Other - Miscellaneous$1,801
- XIA$1,586
- O-ARM-ST$704
- CD HORIZON SPINAL SYSTEM$637
- AERO$573
- ES2$573
- TRITANIUM$573
- SERRATO$573
- PROCLAIM$245
- Caldolor$151
- Omnia$130
- AVANCE NERVE GRAFT$128
- PRODISC L$125
- ALTERA$119
- DBM$114
- PRODISC C VIVO$107
- ADHERUS AUTOSPRAY DURAL SEALANT$100
- CUSTOM IMPLANTS$100
- ADHERUS AUTOSPRAY ET DURAL SEALANT$100
How this compares
$11,522 in reported general payments places this provider in the 75th percentile of 172 neurological surgery providers in Missouri.
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 | 87 | $1,773 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 99 | $1,241 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 51 | $563 |
| Tramadol Hcl | 34 | $237 |
| Cyclobenzaprine Hcl | 28 | $153 |
| Oxycodone Hcl | 23 | $146 |
| Tizanidine Hcl | 14 | $134 |
| Methylprednisolone | 19 | $112 |
| Pregabalin | 11 | $77 |
| Diazepam | 16 | $53 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Saint Louis
- Neill WrightSaint Louis$1.1M
- Wilson RaySaint Louis$586K
- Camilo MolinaSaint Louis$412K
- Paul SantiagoSaint Louis$368K
- Daniel ScodarySaint Louis$278K
- Daniel HafezSaint Louis$273K
- John OgunladeSaint Louis$220K
- Joshua OsbunSaint Louis$98K
- Adewale BakareSaint Louis$81K
- Eric LeuthardtSaint Louis$78K
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.