Zaki Ibrahim, MD
Orthopaedic Surgery of the Spine · Clive, IANPI 1689612889
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (32.4%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Surgalign Spine Technologies, Inc. at 55.9% of the total. Reporting peaked in 2019 at $8,860 and has fallen 91.8% since, to $722 in 2025.
Across 70 payments — averaging $266.29 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Surgalign Spine Technologies, Inc.$10K
- Xtant Medical Inc$4K
- Globus Medical$2K
- Biotronik NRO, Inc.$1K
- Medtronic$607
- Ziehm-orthoscan, Inc.$302
- plus $793 from 10 others
What the payments were for
- Royalty or licence$4,55424%
- Consulting fees$6,04532%
- Travel & lodging$4,48824%
- Food & beverage$3,55319%
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 |
|---|---|---|
| Surgalign Spine Technologies, Inc. | 17 | $10,425 |
| Xtant Medical Inc | 15 | $3,548 |
| Globus Medical | 8 | $1,685 |
| Biotronik NRO, Inc. | 8 | $1,279 |
| Medtronic(2 entities) | 8 | $607 |
| Ziehm-orthoscan, Inc.(2 entities) | 2 | $302 |
| Stryker | 3 | $267 |
| Wardlow Enterprises | 1 | $143 |
| Providence Medical Technology, Inc. | 1 | $135 |
| Prism Medical | 1 | $76 |
| Augmedics Inc. | 1 | $70 |
| Spineology Inc. | 1 | $32 |
| Centinel Spine, LLC | 1 | $25 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Amgen | 1 | $13 |
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.
- Fortink-A$5,580
- FORTILINK-A IBF SYSTEM$2,948
- ALLOGRAFT$1,134
- Prospera$978
- INDEPENDENCE$695
- EXCELSIUS$500
- NANOSS ABGS FAMILY$465
- MazorX - Renaissance$383
- Spine$327
- STREAMLINE TL SPINAL FIXATION SYSTEM$166
- IVAS$153
- INTELLIS$145
How this compares
Too few orthopaedic surgery of the spine providers in Iowato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Diclofenac Sodium | 82 | $620 |
| Oxycodone Hcl | 61 | $543 |
| Methocarbamol | 57 | $383 |
| Tramadol Hcl | 35 | $148 |
| Methylprednisolone | 14 | $117 |
| Meloxicam | 39 | $92 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery of the spine in Clive
- Andrew PugelyIowa City$208K
- Joshua BarberCedar Rapids$112K
- Brian HandalWest Des Moines$92K
- Catherine OlingerIowa City$51K
- Mark PalitClarion$19K
- Evan LarsonIowa City$9K
- Mitchell HughesWest Des Moines$9K
- Michael ChapmanDubuque$9K
- Trevor SchmitzDes Moines$6K
- Benjamin MaclennanNorth Liberty$4K
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.