Robert James Iv, MD
Neurological Surgery · Crestview Hills, KYNPI 1952437097
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $5,804 of the $6,364 with a category attached, or 91.2%. Biogen accounts for 76.7% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2019 at $6,138 and has fallen 99.6% since, to $22 in 2024.
Across 18 payments — averaging $353.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biogen$5K
- Microvention, Inc.$1K
- Imperative Care, Inc$162
- Terumo Medical Corporation$27
- Cardiva Medical, Inc.$22
- Boston Scientific$15
Across 12 payments — averaging $4604.88 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.
- Penumbra, Inc.$31K
- Medical Device Business Services, Inc.$20K
- Sequent Medical, Inc.$4K
What the payments were for
- Travel & lodging$5,80491%
- Food & beverage$5609%
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 |
|---|---|---|
| Biogen | 6 | $4,882 |
| Microvention, Inc. | 8 | $1,255 |
| Imperative Care, Inc | 1 | $162 |
| Terumo Medical Corporation | 1 | $27 |
| Cardiva Medical, Inc. | 1 | $22 |
| Boston Scientific | 1 | $15 |
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.
How this compares
$6,364 in reported general payments places this provider in the 65th percentile of 99 neurological surgery providers in Kentucky.
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 | 15 | $39 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Crestview Hills
- Tann NicholsCrestview Hills$3K
- Steven BaileyCrestview Hills$3K
- Tom YaoLouisville$405K
- Joseph NeimatLouisville$196K
- Maria KoutourousiouLouisville$189K
- Shervin DashtiLouisville$146K
- Shawn AdamsLouisville$73K
- Matthew TuttLexington$64K
- Craig VanhorneLexington$64K
- Nathaniel ToopLouisville$56K
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.