Sharad Rajpal, MD
Neurological Surgery · Boulder, CONPI 1699730986
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (38.2%), speaking fees and consulting fees — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Medtronic at 49.3% of the total. 2025 is the largest year on record at $736,635, 5.0 times the $147,368 reported in 2019. Among neurological surgery clinicians in CO with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 1,856 payments — averaging $1510.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$1.4M
- Si-bone, Inc.$1.1M
- Cerapedics Inc.$215K
- Zimmer Biomet$62K
- Clariance SAS$4K
- Alphatec Spine, Inc$3K
- plus $6K from 13 others
Across 3 payments — averaging $11,500 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$35K
Across 1 payment — averaging $2099.50 each. An ownership or investment interest held by the physician or an immediate family member.
- Expanding Innovations, Inc.$2K
What the payments were for
- Royalty or licence$1,069,73738%
- Consulting fees$547,36020%
- Speaking & faculty fees$989,55235%
- Travel & lodging$151,7325%
- Food & beverage$44,4212%
- Education$1,0810%
- Gifts$440%
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 |
|---|---|---|
| Medtronic(2 entities) | 1,481 | $1,383,108 |
| Si-bone, Inc. | 77 | $1,131,708 |
| Cerapedics Inc. | 164 | $214,506 |
| Zimmer Biomet | 93 | $62,034 |
| Clariance SAS | 4 | $3,647 |
| Alphatec Spine, Inc | 9 | $2,576 |
| Expanding Innovations, Inc. | 3 | $2,235 |
| Globus Medical | 5 | $1,770 |
| Integrity Implants Inc. | 7 | $1,456 |
| Clariance, Inc. | 3 | $296 |
| Penumbra, Inc. | 1 | $145 |
| VB Spine LLC | 1 | $138 |
| Leica Microsystems Inc. | 1 | $85 |
| Camber Spine Technologies LLC | 1 | $77 |
| Orthofix Medical, Inc. | 2 | $66 |
| Biocomposites Inc | 1 | $32 |
| Pacira Pharmaceuticals Incorporated | 1 | $24 |
| Misonix Inc | 1 | $19 |
| Augmedics Inc. | 1 | $5 |
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.
- IFUSE IMPLANT SYSTEM$964,514
- MAZOR X SYSTEM$475,231
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$212,057
- iFuse Implant$165,528
- O-ARM-ST$108,346
- UNID_PASS$90,809
- Mazor X Stealth Edition$66,162
- STEALTHSTATION S8 PLATFORM$56,973
- O-ARM$55,749
- CD HORIZON$36,527
- CRESCENT$26,325
- MazorX - Renaissance$23,256
- Adaptix$22,276
- PIVOX Oblique Lateral Spinal System$19,994
- CD HORIZON SPINAL SYSTEM$19,040
- StealthStation$17,591
- PD-Spine-New Product$14,775
- AQUAMANTYS$10,251
- ROSA$9,374
- RIALTO$9,230
How this compares
$2,803,927 in reported general payments places this provider in the 95th percentile of 149 neurological surgery providers in Colorado.
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 Boulder
- Kara BeasleyBoulder$30K
- Ewell NelsonBoulder$15K
- Chad PrusmackLone Tree$2.1M
- Timothy WirtFort Collins$581K
- Donn TurnerFort Collins$581K
- Ernest BraxtonEdwards$549K
- Bradley DuhonLone Tree$386K
- Peter SyreEnglewood$301K
- Sean MarkeyDenver$170K
- Peter FecciAurora$170K
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.