Stephen Grupke, MD
Neurological Surgery · Lubbock, TXNPI 1144454679
Payments from drug & device makers
Across 85 payments — averaging $36.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$1K
- Silk Road Medical, Inc.$550
- Route 92 Medical, Inc.$193
- Johnson & Johnson$185
- Medical Device Business Services, Inc.$177
- Nevro Corp.$118
- plus $814 from 16 others
What the payments were for
- Food & beverage$3,062100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Penumbra, Inc. | 39 | $1,027 |
| Silk Road Medical, Inc. | 9 | $550 |
| Route 92 Medical, Inc. | 2 | $193 |
| Johnson & Johnson(2 entities) | 6 | $185 |
| Medical Device Business Services, Inc. | 3 | $177 |
| Nevro Corp. | 1 | $118 |
| Providence Medical Technology, Inc. | 1 | $117 |
| Medtronic(2 entities) | 4 | $102 |
| Microvention, Inc. | 1 | $100 |
| Phenox Inc. | 1 | $78 |
| Globus Medical | 2 | $74 |
| Aesculap, Inc. | 1 | $60 |
| Imperative Care, Inc | 4 | $58 |
| Integra Lifesciences Corporation | 1 | $38 |
| Stryker | 2 | $33 |
| Novartis | 2 | $32 |
| Spinal Elements, Inc. | 1 | $28 |
| Boston Scientific | 1 | $22 |
| Abbott | 1 | $22 |
| Pfizer | 1 | $19 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Seaspine Orthopedics Corporation | 1 | $13 |
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.
- ENROUTE Transcarotid Neuroprotection System$586
- ENROUTE Transcarotid Stent$430
- Penumbra System$221
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$156
- ENHANCE Transcarotid Peripheral Access Kit$143
- ENROUTE .014 Guidewire$143
- SYMPHONY$123
- Penumbra Coil 400$120
- Senza Spinal Cord Stimulation System$118
- WEB Aneurysm Embolization System$100
- Sofia 6F-125cm STR$100
- Scepter XC$100
How this compares
$3,062 in reported general payments places this provider in the 45th percentile of 582 neurological surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $217 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Lubbock
- John DormanOdessa$8.5M
- Daniel PetersonAustin$5.8M
- Daniel CurryHouston$3M
- Peter KanGalveston$1.8M
- Mirza BaigShenandoah$1.6M
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
- Richard MeyratDallas$883K
- Adam LewisCorpus Christi$851K
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.