Vance Fredrickson, MD
Neurological Surgery · Billings, MTNPI 1073957312
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (50.2%), food and beverage and education — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Stryker at 52.2% of the total. Reporting peaked in 2019 at $1,634 and has fallen 95.9% since, to $68 in 2025. That places this record below the midpoint for neurological surgery clinicians in MT, where the typical reported total is $3,333.
Across 51 payments — averaging $71.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Medical Device Business Services, Inc.$1K
- Medtronic$233
- Zimmer Biomet$119
- Cordis US CORP.$118
- Microvention, Inc.$68
- plus $158 from 3 others
What the payments were for
- Travel & lodging$1,84050%
- Food & beverage$1,72547%
- Education$1033%
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 |
|---|---|---|
| Stryker | 28 | $1,916 |
| Medical Device Business Services, Inc. | 6 | $1,057 |
| Medtronic(2 entities) | 9 | $233 |
| Zimmer Biomet | 1 | $119 |
| Cordis US CORP. | 1 | $118 |
| Microvention, Inc. | 3 | $68 |
| Penumbra, Inc. | 1 | $65 |
| Osteomed LLC | 1 | $51 |
| Baxter Healthcare | 1 | $42 |
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.
- PULSERIDER$989
- TRUFILL$989
- CAPRI CORPECTOMY CAGE SYSTEM$526
- CASCADIA INTERBODY SYSTEM$421
- NEURO FIXATION$150
- NSE - HIGH SPEED DRILLS$135
- Vital Deformity$119
- PRECISE PRO RX$118
- TARGET$103
How this compares
$3,668 in reported general payments places this provider in the 50th percentile of 31 neurological surgery providers in Montana.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 18 | $153 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Billings
- Raymond TurnerBillings$1.3M
- Marlin RichardsonBillings$35K
- Stuart GoodmanBillings$14K
- Louis RossBillings$9K
- Jeffrey HakimBillings$9K
- Christopher StewartBillings$4K
- Michael MoroneBillings$3K
- Mark PiedraBillings$2K
- William SpireBillings$1K
- Michael CopelandBillings$921
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.