Robert Spears, MD
Neurological Surgery · Lexington, KYNPI 1174985592
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,015 of the $3,068 with a category attached, or 65.7%. 13 manufacturers reported payments, led by Medical Device Business Services, Inc. at 46.7% of the total. Reporting peaked in 2023 at $1,804 and has fallen 53.2% since, to $844 in 2025. That places this record below the midpoint for neurological surgery clinicians in KY, where the typical reported total is $3,068.
Across 35 payments — averaging $87.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$1K
- Johnson & Johnson$412
- Blue Surgical LLC$409
- Arthrex$288
- Boston Scientific$139
- Stryker$107
- plus $282 from 7 others
What the payments were for
- Travel & lodging$2,01566%
- Food & beverage$1,05334%
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. | 6 | $1,432 |
| Johnson & Johnson | 12 | $412 |
| Blue Surgical LLC | 2 | $409 |
| Arthrex | 3 | $288 |
| Boston Scientific | 1 | $139 |
| Stryker | 2 | $107 |
| Nevro Corp. | 1 | $90 |
| Medtronic | 2 | $54 |
| Centinel Spine, LLC | 1 | $50 |
| Depuy Synthes Products, Inc. | 2 | $37 |
| Abbott | 1 | $19 |
| AbbVie | 1 | $16 |
| Jazz Pharmaceuticals Inc. | 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.
- VIPER$1,384
- FIBERGRAFT Aeridyan Matrix$111
- Teligen$111
- Expedium VERSE$111
How this compares
$3,068 in reported general payments places this provider in the 50th 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 |
|---|---|---|
| Pregabalin | 20 | $448 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 46 | $416 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $197 |
| Gabapentin | 28 | $180 |
| Cyclobenzaprine Hcl | 15 | $35 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lexington
- Matthew TuttLexington$64K
- Craig VanhorneLexington$64K
- Christian RamseyLexington$35K
- David DornbosLexington$35K
- Saman SizdahkhaniLexington$29K
- Rouzbeh Motiei LangroudiLexington$25K
- Ryan HoflerLexington$12K
- Justin FraserLexington$10K
- Justin HilliardLexington$8K
- John GilbertLexington$4K
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.