Tristan Stani, MD
Neurological Surgery · Gainesville, GANPI 1477811826
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 23 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Rapid Medical Ltd at 36.9% of the total. Reporting peaked in 2024 at $306 and has fallen 83.7% since, to $50 in 2025. That places this record below the midpoint for neurological surgery clinicians in GA, where the typical reported total is $3,499.
Across 23 payments — averaging $27.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Rapid Medical Ltd$233
- Medtronic$152
- Stryker$102
- Johnson & Johnson$35
- Cordis US CORP.$28
- Boston Scientific$25
- plus $57 from 3 others
Across 8 payments — averaging $5276.84 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.
- Ossdsign USA Incorporated$42K
What the payments were for
- Food & beverage$631100%
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 |
|---|---|---|
| Rapid Medical Ltd | 9 | $233 |
| Medtronic | 6 | $152 |
| Stryker | 1 | $102 |
| Johnson & Johnson | 1 | $35 |
| Cordis US CORP. | 2 | $28 |
| Boston Scientific | 1 | $25 |
| Nevro Corp. | 1 | $22 |
| Cardiva Medical, Inc. | 1 | $20 |
| Baxter Healthcare | 1 | $15 |
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.
- RAVINE$102
How this compares
$631 in reported general payments places this provider in the 20th percentile of 201 neurological surgery providers in Georgia.
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 |
|---|---|---|
| BrilintaTicagrelor | 27 | $13,094 |
| Oxycodone Hcl | 19 | $193 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $145 |
| Mupirocin | 13 | $104 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Gainesville
- Betsy GrunchGainesville$1.1M
- Zain BoghaniGainesville$101K
- Karl SchultzGainesville$47K
- Regis HaidAtlanta$25.5M
- John CowanRome$3.2M
- Thomas MorrisonAtlanta$2.8M
- Christopher TomarasAtlanta$1.5M
- Daniel RefaiAtlanta$1.2M
- Gerald RodtsAtlanta$1.2M
- James RobinsonAtlanta$993K
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.