Richard Fessler, MD
Neurological Surgery · South Bend, INNPI 1134641038
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $23,768 of the $33,435 with a category attached, or 71.1%. Depuy Synthes Products, Inc. accounts for 71.1% of it on its own, with 21 other manufacturers making up the rest. 2025 is the largest year on record at $18,707, more than ten times the $178 reported in 2019.
Across 91 payments — averaging $367.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Depuy Synthes Products, Inc.$24K
- Globus Medical$2K
- Orthofix Medical, Inc.$2K
- Medtronic$2K
- Stryker$791
- Spinal Elements, Inc.$663
- plus $2K from 16 others
What the payments were for
- Royalty or licence$23,76871%
- Travel & lodging$4,50913%
- Food & beverage$4,98715%
- Entertainment$1711%
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 |
|---|---|---|
| Depuy Synthes Products, Inc. | 8 | $23,768 |
| Globus Medical | 16 | $2,085 |
| Orthofix Medical, Inc. | 19 | $1,947 |
| Medtronic(2 entities) | 15 | $1,942 |
| Stryker | 2 | $791 |
| Spinal Elements, Inc. | 9 | $663 |
| Si-bone, Inc. | 4 | $537 |
| Kuros Biosciences USA, Inc | 2 | $359 |
| Spineology Inc. | 2 | $185 |
| Centinel Spine, LLC | 1 | $177 |
| Boston Scientific | 2 | $167 |
| Icotec Medical Inc. | 1 | $155 |
| Johnson & Johnson | 1 | $144 |
| Qapel Medical Inc | 1 | $142 |
| Choice Spine, LLC | 1 | $113 |
| Aesculap, Inc. | 1 | $97 |
| Titan Spine, LLC | 1 | $48 |
| Expanding Innovations, Inc. | 1 | $35 |
| Integra Lifesciences Corporation | 1 | $28 |
| DJO, LLC | 1 | $21 |
| Merz Pharmaceuticals, LLC | 1 | $18 |
| Mimedx Group, Inc. | 1 | $14 |
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.
- CREO$1,423
- M6-C$1,260
- CD HORIZON SPINAL SYSTEM$1,184
- N/A$755
- Medical Devices$620
- MagnetOs$359
- ASCENT;ASCENT LE;FIREBIRD SFS;ICON SFS;SFS$181
- PRODISC L$177
- Medical Device$161
- Excelsius3D Imaging System$159
- CREO MIS Stabilization System$158
- icotec BlackArmor Spine System$155
- iFuse Implant$148
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$145
- Teligen$144
- FIREBIRD NXG$130
- FORZA$130
- AQUAMANTYS$129
- GENERAL DBS$122
- MAZOR X SYSTEM$116
How this compares
$33,435 in reported general payments places this provider in the 85th percentile of 112 neurological surgery providers in Indiana.
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 South Bend
- Daniel FulkersonSouth Bend$92K
- Stephen SmithSouth Bend$31K
- Walter LangheinrichSouth Bend$16K
- Neal PatelSouth Bend$12K
- Osmond WuSouth Bend$6K
- Jean-Pierre MobasserCarmel$3.5M
- Troy PaynerCarmel$803K
- Michael TurnerIndianapolis$522K
- Eric PottsCarmel$345K
- Souheil HaddadBloomington$161K
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.