Thomas Melin, MD
Neurological Surgery · Wilmington, NCNPI 1386787174
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,894 of the $6,216 with a category attached, or 62.6%. 13 manufacturers reported payments, led by Medtronic at 39.7% of the total. Reporting peaked in 2023 at $2,688 and has fallen 99.1% since, to $25 in 2025. That places this record below the midpoint for neurological surgery clinicians in NC, where the typical reported total is $4,651.
Across 133 payments — averaging $46.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Globus Medical$2K
- Providence Medical Technology, Inc.$632
- Boston Scientific$448
- Si-bone, Inc.$139
- Osteocentric Technologies, Inc.$121
- plus $211 from 7 others
What the payments were for
- Travel & lodging$2,32237%
- Food & beverage$3,89463%
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 |
|---|---|---|
| Medtronic(2 entities) | 80 | $2,468 |
| Globus Medical(2 entities) | 17 | $2,197 |
| Providence Medical Technology, Inc. | 8 | $632 |
| Boston Scientific | 10 | $448 |
| Si-bone, Inc. | 6 | $139 |
| Osteocentric Technologies, Inc. | 2 | $121 |
| Abbott | 4 | $57 |
| Orthofix Medical, Inc. | 1 | $47 |
| Synaptive Medical Inc. | 1 | $28 |
| Relievant Medsystems, Inc. | 1 | $22 |
| Surgalign Spine Technologies, Inc. | 1 | $22 |
| Aesculap, Inc. | 1 | $18 |
| Zimmer Biomet | 1 | $17 |
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.
- XLIF$1,580
- PIVOX Oblique Lateral Spinal System$770
- Excelsius - GPS$230
- ARTiC-L$116
- MazorX - Renaissance$115
How this compares
$6,216 in reported general payments places this provider in the 50th 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 Wilmington
- John ThomasWilmington$1.8M
- Jeffrey BeecherWilmington$117K
- Justin CappuzzoWilmington$38K
- Adam BrownWilmington$19K
- Robert IsaacsDurham$6.6M
- Christopher ShaffreyDurham$4.5M
- Domagoj CoricCharlotte$2.3M
- Alexander PowersKernersville$1.7M
- Charles BranchAdvance$1.6M
- Paul KimCharlotte$1.5M
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.