Shivanand Lad
Neurological Surgery · Durham, NCNPI 1346408507
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.5%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Medtronic at 26.3% of the total.
Across 224 payments — averaging $406.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$24K
- Nevro Corp.$24K
- Saluda Medical Americas, Inc.$18K
- Abbott$7K
- Convatec Inc.$4K
- Insightec,inc$4K
- plus $11K from 12 others
Across 100 payments — averaging $7823.63 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.
- SPR Therapeutics, Inc$338K
- Nevro Corp.$214K
- Saluda Medical Americas, Inc.$154K
- MML US, Inc.$76K
What the payments were for
- Consulting fees$39,63044%
- Speaking & faculty fees$28,14631%
- Travel & lodging$12,19713%
- Food & beverage$11,08612%
- Education$320%
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) | 44 | $23,946 |
| Nevro Corp. | 31 | $23,645 |
| Saluda Medical Americas, Inc. | 20 | $17,658 |
| Abbott | 46 | $6,992 |
| Convatec Inc. | 1 | $4,050 |
| Insightec,inc | 23 | $3,568 |
| Biotronik NRO, Inc. | 22 | $3,483 |
| Livanova USA, Inc. | 4 | $2,672 |
| Clearpoint Neuro, Inc. | 11 | $1,605 |
| Elutia, Inc. | 1 | $1,500 |
| SPR Therapeutics, Inc | 2 | $707 |
| Globus Medical | 7 | $617 |
| MML US, Inc. | 5 | $387 |
| Boston Scientific | 2 | $143 |
| Stimwave Technologies Incorporated | 2 | $35 |
| Tersera Therapeutics LLC | 1 | $32 |
| Nalu Medical, Inc. | 1 | $30 |
| Novocure Inc. | 1 | $21 |
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.
- Senza Spinal Cord Stimulation System$18,904
- Evoke$17,346
- STEALTHSTATION S8 PLATFORM$11,549
- Neuromodulation Dspsbls and Accs$5,355
- Vanta$4,290
- AQUACEL Ag Surgical$4,050
- Omnia$4,035
- Prospera$3,008
- Exablate$2,830
- VNS Therapy$2,642
- ECM Patch,Pouch$1,500
- CLEARPOINT$1,395
- INTELLIS$1,324
- Senza$886
- MAZOR X SYSTEM$884
- SPECIFY SURESCAN MRI 5-6-5$780
- SPRINT PNS System$630
- INTELLIS ADAPTIVESTIM$382
- Proclaim Family of SCS IPGs$330
- ReActiv8$280
How this compares
$91,090 in reported general payments places this provider in the 85th percentile of 196 neurological surgery providers in North Carolina.
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 Durham
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Khoi ThanDurham$192K
- Michael HaglundDurham$163K
- Timothy MillerDurham$102K
- Courtney GoodwinDurham$97K
- Erik HauckDurham$94K
- Emad HasanDurham$79K
- Kristen JonesDurham$48K
- Domagoj CoricCharlotte$2.3M
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.