Richard Menger, MD
Neurological Surgery · Mobile, ALNPI 1205128790
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $59,350 of the $69,828 with a category attached, or 85.0%. 24 manufacturers reported payments, led by VB Spine LLC at 56.6% of the total. 2025 is the largest year on record at $62,540, more than ten times the $1,846 reported in 2019. Among neurological surgery clinicians in AL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 139 payments — averaging $502.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- VB Spine LLC$39K
- Si-bone, Inc.$12K
- Stryker$10K
- Carlsmed, Inc.$3K
- Globus Medical$1K
- Medtronic$1K
- plus $3K from 18 others
Across 14 payments — averaging $3877.32 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Si-bone, Inc.$54K
Across 3 payments — averaging $41,554 each. An ownership or investment interest held by the physician or an immediate family member.
- Vesalio, Inc.$125K
What the payments were for
- Consulting fees$59,35085%
- Travel & lodging$4,4606%
- Food & beverage$6,0189%
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 |
|---|---|---|
| VB Spine LLC | 6 | $39,492 |
| Si-bone, Inc. | 13 | $12,218 |
| Stryker | 18 | $10,055 |
| Carlsmed, Inc. | 11 | $3,018 |
| Globus Medical | 19 | $1,415 |
| Medtronic(2 entities) | 17 | $1,087 |
| Biocomposites Inc | 7 | $526 |
| Johnson & Johnson | 17 | $486 |
| DJO, LLC | 7 | $288 |
| Baxter Healthcare | 8 | $236 |
| Orthofix Medical, Inc. | 2 | $225 |
| Cerapedics Inc. | 1 | $160 |
| Curiteva, Inc. | 1 | $146 |
| Alphatec Spine, Inc | 1 | $104 |
| Highridge Medical LLC | 1 | $102 |
| Providence Medical Technology, Inc. | 1 | $64 |
| AstraZeneca | 2 | $53 |
| Integra Lifesciences Corporation | 1 | $35 |
| SK Life Science, Inc. | 1 | $26 |
| UCB, Inc. | 1 | $24 |
| Smith+Nephew | 1 | $23 |
| Kls-martin L.p. | 1 | $19 |
| Zimmer Biomet | 1 | $13 |
| Brainlab, Inc. | 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.
- EVEREST SPINAL SYSTEM$21,000
- IFUSE IMPLANT SYSTEM$11,467
- XIA 3$7,150
- aprevo$2,900
- MAGEC$923
- Stimulan$268
- RELINE$209
- YUKON OCT SPINAL SYSTEM$188
- CD HORIZON SPINAL SYSTEM$175
- N/A$171
- UNID_PASS$170
- Mariner$160
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$160
- MAZOR X SYSTEM$156
- TRITANIUM$144
- Other - Miscellaneous$104
- INVICTUS OPEN$104
- The Tether$102
- FLOSEAL$102
How this compares
$69,828 in reported general payments places this provider in the 90th percentile of 97 neurological surgery providers in Alabama.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 97 | $1,246 |
| Pregabalin | 11 | $812 |
| Gabapentin | 93 | $765 |
| Methocarbamol | 43 | $517 |
| Oxycodone Hcl | 44 | $236 |
| Cyclobenzaprine Hcl | 16 | $130 |
| Methylprednisolone | 11 | $116 |
| Tramadol Hcl | 23 | $76 |
| Diazepam | 37 | $64 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Mobile
- Amber GordonMobile$24K
- Andrew RomeoMobile$12K
- William FairclothMobile$6K
- Anthony MartinoMobile$6K
- John AmburgyMobile$5K
- Donald TylerMobile$5K
- Shawn ClarkMobile$4K
- Marc ManixMobile$3K
- Nidal OmarMobile$2K
- Jeremy AmpsMobile$2K
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.