Zachary Tempel, MD
Neurological Surgery · Cincinnati, OHNPI 1316243264
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.8%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. Globus Medical accounts for 90.2% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2023 at $109,918 and has fallen 69.5% since, to $33,520 in 2025. Among neurological surgery clinicians in OH with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 413 payments — averaging $849.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$316K
- Si-bone, Inc.$30K
- Carlsmed, Inc.$3K
- Medtronic$565
- Orthofix Medical, Inc.$195
- Abbott$162
- plus $285 from 6 others
What the payments were for
- Royalty or licence$100,00028%
- Consulting fees$206,36359%
- Travel & lodging$30,2229%
- Food & beverage$14,3184%
- Entertainment$370%
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 |
|---|---|---|
| Globus Medical(2 entities) | 344 | $316,445 |
| Si-bone, Inc. | 44 | $30,016 |
| Carlsmed, Inc. | 10 | $3,271 |
| Medtronic(2 entities) | 7 | $565 |
| Orthofix Medical, Inc. | 1 | $195 |
| Abbott | 1 | $162 |
| Smith+Nephew | 1 | $108 |
| MML US, Inc. | 1 | $82 |
| Arthrex | 1 | $33 |
| Sanara Medtech Inc. | 1 | $25 |
| Edwards Lifesciences | 1 | $20 |
| Zimvie Inc. | 1 | $18 |
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.
- Pulse$207,598
- RELINE$70,106
- XLIF$25,207
- IFUSE IMPLANT SYSTEM$24,039
- TLIF$13,527
- ALIF$10,833
- iFuse Implant$4,675
- CREO$4,052
- REFLECT/REFLECT HDE$4,052
- Marvel Growing Rod$4,052
- aprevo$3,070
- Excelsius - GPS$2,407
- ExcelsiusGPS Robotic Navigation System$1,203
- Excelsius3D Imaging System$990
- ELSA$647
- Simplify Cervical Artificial Disc$254
- 7D Surgical System$195
- RISE$185
- PROCLAIM$162
- CREO 5.5$162
How this compares
$350,939 in reported general payments places this provider in the 95th percentile of 301 neurological surgery providers in Ohio.
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 |
|---|---|---|
| Methocarbamol | 16 | $271 |
| Pregabalin | 12 | $144 |
| Methylprednisolone | 16 | $98 |
| Oxycodone Hcl | 12 | $82 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Cincinnati
- Michael KachmannCincinnati$247K
- John TewCincinnati$87K
- Benjamin MotleyCincinnati$79K
- Joseph ChengCincinnati$58K
- Sudhakar VadiveluCincinnati$41K
- Randall HlubekCincinnati$41K
- Owoicho AdogwaCincinnati$37K
- Dale HorneCincinnati$27K
- William ToblerCincinnati$25K
- Francesco ManganoCincinnati$25K
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.