Richard Fessler, MD
Neurosurgery · Southfield, MINPI 1801882584
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 23.9%. Reporting peaked in 2023 at $3,152 and has fallen 84.6% since, to $486 in 2025.
Across 90 payments — averaging $81.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$2K
- Depuy Synthes Products, Inc.$1K
- Orthofix Medical, Inc.$866
- Medtronic$734
- Kuros Biosciences USA, Inc$663
- Stryker$506
- plus $2K from 14 others
What the payments were for
- Travel & lodging$3,34146%
- Food & beverage$3,94754%
- Education$200%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 14 | $1,747 |
| Depuy Synthes Products, Inc. | 7 | $1,169 |
| Orthofix Medical, Inc. | 5 | $866 |
| Medtronic(3 entities) | 13 | $734 |
| Kuros Biosciences USA, Inc | 2 | $663 |
| Stryker | 10 | $506 |
| Johnson & Johnson | 5 | $486 |
| Zimmer Biomet | 19 | $345 |
| Leica Microsystems Inc. | 2 | $272 |
| Globus Medical | 1 | $156 |
| Si-bone, Inc. | 3 | $133 |
| Spine Wave, Inc. | 1 | $64 |
| Viz.ai, Inc. | 1 | $36 |
| Imperative Care, Inc | 1 | $24 |
| Nalu Medical, Inc. | 1 | $24 |
| Abbott | 1 | $21 |
| CSL Behring | 1 | $20 |
| Zimvie Inc. | 1 | $17 |
| Wenzel Spine, Inc. | 1 | $13 |
| Kls-martin L.p. | 1 | $10 |
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.
- CONDUIT$1,268
- 7D Surgical System$850
- SURGICAL MICROSCOPES$272
- Teligen$236
- TREVO$218
- UNID_PASS$170
- ALIF$156
- Excelsius - GPS$156
- Pipeline$150
- ALTALYNE$144
- SURPASS EVOLVE$128
- SOLITAIRE X$125
- Velys$125
- iFuse Implant$107
- Reveal LINQ$106
How this compares
Too few neurosurgery providers in Michiganto place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 26 | $425 |
| Gabapentin | 16 | $157 |
| Naproxen | 18 | $81 |
| Mupirocin | 11 | $75 |
Paid to pharmacies, not to this prescriber.
Other neurosurgery in Southfield
- Muwaffak AbdulhakDetroit$436K
- Miguelangelo Perez CruetRoyal Oak$57K
- Mark GoldbergerClinton Twp$5K
- Fernando DiazRoyal Oak$2K
- Jawad ShahFlint$845
- Shah-Naz KhanFlint$0
- Jason HethAnn Arbor$0
- Craig WilliamsonAnn Arbor$0
- Charles BillEast Lansing$0
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.