Has Robert Ayer, MD received payments from drug or device companies?

Yes. Drug and device makers reported $19,495 in general payments to Robert Ayer, MD across 218 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Robert Ayer, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Robert Ayer, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Robert Ayer, MD

Neurological Surgery · Lawrenceville, GANPI 1891902714

Payments from drug & device makers

$19,495in general payments, 2019–2025

Across 218 payments — averaging $89.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Globus Medical$7K
Abbott$3K
Spineology Inc.$2K
Mirus, LLC$2K
Medtronic$1K
Arteriocyte Medical Systems, Inc.$725
plus $4K from 38 others

What the payments were for

Consulting fees$6,60034%
Travel & lodging$1991%
Food & beverage$12,64865%
Entertainment$470%

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
Globus Medical(2 entities)	36	$6,854
Abbott	52	$3,295
Spineology Inc.	8	$1,787
Mirus, LLC	3	$1,525
Medtronic(2 entities)	15	$1,123
Arteriocyte Medical Systems, Inc.	4	$725
Spinal Simplicity, LLC	13	$530
Si-bone, Inc.	13	$510
Stryker	7	$391
Boston Scientific	8	$387
DJO, LLC	10	$341
Intrinsic Therapeutics	2	$201
Johnson & Johnson(2 entities)	7	$199
Nexxt Spine LLC	2	$193
Providence Medical Technology, Inc.	2	$168
Davol Inc.	2	$164
4web, Inc.	1	$146
Surgalign Spine Technologies, Inc.	3	$128
Encore Medical, LP	1	$104
Orthofix Medical, Inc.	1	$102
Portola Pharmaceuticals, LLC	4	$83
Ulrich Medical USA, Inc.	1	$47
KCI USA, Inc.	1	$45
Relievant Medsystems, Inc.	2	$43
Augmedics Inc.	1	$33
BD	1	$30
Icotec Medical Inc.	1	$30
Kyocera Medical Technologies, Inc.	1	$30
Carlsmed, Inc.	1	$25
Integra Lifesciences Corporation	1	$24
Sanara Medtech Inc.	1	$24
Arkis Biosciences Inc	1	$21
Smith+Nephew	1	$19
Nevro Corp.	1	$18
Bioventus LLC	1	$18
Pacira Pharmaceuticals Incorporated	1	$16
Aesculap Implant Systems, LLC	1	$16
Xtant Medical Inc	1	$16
Arbor Pharmaceuticals, Inc.	1	$16
Chiesi USA, Inc.	1	$16
Elutia, Inc.	1	$14
Baxter Healthcare	1	$14
Camber Spine Technologies LLC	1	$13
Natus Medical Incorporated	1	$12

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.

Pulse$3,140
XLIF$2,388
ALIF$1,504
EUROPA Pedicle Screw System$1,500
CYGNUS Anterior Cervical Plate$1,500
MiRus 3DR Lumbar Interbody System$1,500
IO Expandable Lumbar Interbody$1,500
RIGEL 3DR Cervical Interbody$1,500
OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$1,500
Proclaim IPG$1,273
PROCLAIM$830
Magellan$587
BARRICAID ACD (ANNULAR CLOSURE DEVICE)$263
RELINE$245
BASE$244
Proclaim Family of SCS IPGs$244
Nexxt Matrixx Systems$163
KYPHON EXPRESS II KYPHOPAK TRAY$158
Senza$154
SPINE TRUSS SYSTEM$146

How this compares

$19,495 in reported general payments places this provider in the 70th percentile of 201 neurological surgery providers in Georgia.

See all neurological surgery providers in Georgia →

Medicare billing

Part B allowed, 2024

$189,418

Medicare patients

199

Services billed

932

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	68	$1,115
Methocarbamol	68	$866
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	54	$766
Gabapentin	66	$691
Tizanidine Hcl	19	$221
Diclofenac Sodium	23	$216
Methylprednisolone	15	$103
Cyclobenzaprine Hcl	14	$91
Oxycodone Hcl	12	$75
Tramadol Hcl	23	$68
Diazepam	17	$11

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Lawrenceville

Matthew HazzardLawrenceville$23K
Regis HaidAtlanta$25.5M
Rishi GuptaMarietta$3.5M
John CowanRome$3.2M
Thomas MorrisonAtlanta$2.8M
Arthur GrigorianAtlanta$2M
Christopher TomarasAtlanta$1.5M
Betsy GrunchGainesville$1.2M
Daniel RefaiAtlanta$1.2M
Gerald RodtsAtlanta$1.2M

See the full list for Georgia →

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.

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