Todd Francis, MD
Neurological Surgery · Pontiac, MINPI 1265607139
Payments from drug & device makers
Across 76 payments — averaging $252.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Highridge Medical LLC$9K
- Globus Medical$8K
- Si-bone, Inc.$1K
- Zimvie Inc.$723
- Nevro Corp.$227
- Medtronic$208
- plus $283 from 8 others
What the payments were for
- Consulting fees$6,45034%
- Travel & lodging$10,26554%
- Food & beverage$2,44413%
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 |
|---|---|---|
| Highridge Medical LLC | 18 | $8,620 |
| Globus Medical(2 entities) | 34 | $8,020 |
| Si-bone, Inc. | 8 | $1,077 |
| Zimvie Inc. | 2 | $723 |
| Nevro Corp. | 2 | $227 |
| Medtronic | 4 | $208 |
| Boston Scientific | 1 | $149 |
| Spineology Inc. | 1 | $31 |
| Stryker | 1 | $24 |
| Spinal Simplicity, LLC | 1 | $23 |
| Johnson & Johnson | 1 | $15 |
| Seaspine Orthopedics Corporation | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $15 |
| Theragen, Inc. | 1 | $12 |
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.
- Spine-None$6,450
- XLIF$2,978
- Pulse$2,288
- Vital$1,244
- iFuse Implant$881
- The Tether$689
- ExcelsiusGPS Robotic Navigation System$489
- MOBI-C PLUG & FIT US$441
- Vitality$290
- Intracept$149
- Senza Spinal Cord Stimulation System$149
- Bendini$145
- Nuvaline/NuvaMap O.R.$145
- O-ARM-Spine$126
- X-CORE$100
How this compares
$19,158 in reported general payments places this provider in the 75th percentile of 256 neurological surgery providers in Michigan.
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 | 15 | $73 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Pontiac
- Frank LamarcaAnn Arbor$4.9M
- Justin SingerGrand Rapids$1.5M
- John KellerGrand Rapids$1.1M
- Jayant JagannathanTroy$685K
- Daniel FahimRoyal Oak$609K
- Timothy SpencerBattle Creek$543K
- Daniel OrringerAnn Arbor$500K
- Noojan KazemiAnn Arbor$450K
- Vittorio MorrealeShelby Twp$439K
- Azam BasheerDetroit$432K
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.