Robert Hirschl, MD
Neurological Surgery · Orlando, FLNPI 1902019771
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (58.9%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Xenix Medical LLC at 35.9% of the total. Reporting peaked in 2021 at $7,787 and has fallen 56.0% since, to $3,428 in 2025.
Across 120 payments — averaging $177.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Xenix Medical LLC$8K
- Sanara Medtech Inc.$4K
- Stryker$3K
- Medtronic$3K
- Globus Medical$1K
- Curiteva, Inc.$634
- plus $2K from 19 others
Across 4 payments — averaging $12,806 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.
- Medtronic$51K
What the payments were for
- Speaking & faculty fees$2,51312%
- Travel & lodging$12,51759%
- Food & beverage$6,18829%
- Entertainment$420%
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 |
|---|---|---|
| Xenix Medical LLC | 10 | $7,633 |
| Sanara Medtech Inc. | 7 | $4,129 |
| Stryker | 17 | $2,592 |
| Medtronic(2 entities) | 43 | $2,550 |
| Globus Medical | 3 | $1,477 |
| Curiteva, Inc. | 1 | $634 |
| Life Spine, Inc. | 2 | $316 |
| Si-bone, Inc. | 6 | $242 |
| Smith+Nephew | 4 | $202 |
| Intrinsic Therapeutics | 1 | $192 |
| Nevro Corp. | 3 | $191 |
| Silk Road Medical, Inc. | 2 | $174 |
| MML US, Inc. | 1 | $163 |
| Integra Lifesciences Corporation | 6 | $143 |
| Ossdsign USA Incorporated | 3 | $137 |
| Precision Spine, Inc. | 1 | $106 |
| Siemens Medical Solutions USA, Inc. | 1 | $99 |
| Highridge Medical LLC | 1 | $86 |
| AbbVie | 2 | $65 |
| Flowonix Medical Incorporated | 1 | $42 |
| Zimmer Biomet | 1 | $30 |
| UCB, Inc. | 1 | $16 |
| Inspiremd Ltd | 1 | $15 |
| Irras USA, Inc. | 1 | $13 |
| Theragen, Inc. | 1 | $11 |
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.
- CellerateRx$3,902
- EVEREST SPINAL SYSTEM$2,268
- Riva$2,031
- Excelsius Robotics System$1,464
- NeoWave$1,417
- Solace$1,417
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$384
- ProLift Micro$286
- SIMpact$286
- PLATEAU-X SPACER SYSTEM$286
- Mazor X Stealth Edition$286
- Ti3D$188
- INTELLIS ADAPTIVESTIM$183
- CD HORIZON SPINAL SYSTEM$175
- UNID_PASS$168
- MAZOR X SYSTEM$167
- ReActiv8$163
- STRATA$162
- ENROUTE Transcarotid Neuroprotection System$155
- ENROUTE .014 Guidewire$155
How this compares
$21,260 in reported general payments places this provider in the 70th percentile of 556 neurological surgery providers in Florida.
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 Orlando
- Kim ManwaringOrlando$5M
- Avery BuchholzOrlando$790K
- Hunaldo VillalobosOrlando$517K
- Virgilio MatheusOrlando$485K
- Jogi PattisapuOrlando$238K
- Joseph WehmanOrlando$167K
- Jay VachhaniOrlando$149K
- Stephen ParkerJacksonville$18.7M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
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.