Vyacheslav Makler, DO
Neurological Surgery · Springfield, MONPI 1164472841
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (48.5%), food and beverage and education — rather than concentrated in one kind of arrangement. Spineology Inc. accounts for 63.5% of it on its own, with 7 other manufacturers making up the rest. 2023 is the largest year on record at $1,467, more than ten times the $120 reported in 2020. That places this record below the midpoint for neurological surgery clinicians in MO, where the typical reported total is $2,450.
Across 21 payments — averaging $141.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spineology Inc.$2K
- Medical Device Business Services, Inc.$350
- Stryker$205
- Globus Medical$167
- Integra Lifesciences Corporation$148
- Johnson & Johnson$85
- plus $128 from 2 others
What the payments were for
- Travel & lodging$1,44149%
- Food & beverage$1,17940%
- Education$35012%
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 |
|---|---|---|
| Spineology Inc. | 3 | $1,887 |
| Medical Device Business Services, Inc. | 2 | $350 |
| Stryker | 7 | $205 |
| Globus Medical | 1 | $167 |
| Integra Lifesciences Corporation | 1 | $148 |
| Johnson & Johnson | 2 | $85 |
| Medtronic | 3 | $74 |
| Integrity Implants Inc. | 2 | $54 |
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.
How this compares
$2,970 in reported general payments places this provider in the 50th percentile of 172 neurological surgery providers in Missouri.
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 Springfield
- Alan ScarrowSpringfield$55K
- Mayur JayaraoSpringfield$31K
- Brenton CogerSpringfield$14K
- Neill WrightSaint Louis$1.1M
- Wilson RaySaint Louis$586K
- Carlos BagleyKansas City$532K
- Kaywan GamadiaCape Girardeau$458K
- Camilo MolinaSaint Louis$412K
- Paul SantiagoSaint Louis$368K
- Daniel ScodarySaint Louis$278K
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.