Medical Doctor Program year 2025 Reported 2019–2025 Source: CMS Open Payments, 2026 publication

Daniel Refai

Neurological Surgery Atlanta, GA Medical Doctor

NPI 1912092800 CMS profile 177460

59 Executive Park S, Suite 3000, Atlanta, GA 30329

Open in the dashboard

General payments

$1,218,052

674 records reported · program years 2019–2025

Research payments

$0

Paid to them · None reported · program years 2019–2025

Ownership & investment interest

$1,447,073

6 holdings reported · through program year 2025

Through program year 2025, Daniel Refai of Atlanta, GA is reported in the CMS Open Payments database as having received $1,218,052 across 674 general payments and $0 in research payments paid to them. They also declared ownership or investment interests valued at $1,447,073 across 6 holdings.

No combined total General, research and ownership are kept apart. Each is reported under its own rules, and ownership is not money that moved at all but the value of a stake held. A meal, a clinical trial grant and a shareholding do not add up to anything meaningful, so this site does not add them.

General payments for this record sit in the 98th percentile of Neurological Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

13 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $190,586 113
2024 General $157,776 98
2023 General $181,693 106
2022 General $244,054 129
2021 General $204,624 78
2020 General $109,524 52
2019 General $129,796 98
2024 Ownership $201,114 1
2023 Ownership $302,806 1
2022 Ownership $302,806 1
2021 Ownership $302,806 1
2020 Ownership $192,448 1
2019 Ownership $145,093 1

Beside peers

Year by year, beside peers General payments · among profiles paid that year
  • Daniel Refai
  • Neurological Surgery median
  • Middle half of Neurological Surgery
  • National median

In program year 2025, general payments to Daniel Refai were reported at $190,586. Among 5,467 Neurological Surgery profiles paid that year, the median was $596 and the middle half received between $159 and $3,102.

Show as a table
Year Daniel Refai Neurological Surgery median Middle half National median
2019 $129,796 $582 $138–$3,006 $163
2020 $109,524 $294 $76–$2,174 $114
2021 $204,624 $387 $105–$2,432 $132
2022 $244,054 $542 $139–$2,989 $149
2023 $181,693 $534 $145–$2,697 $160
2024 $157,776 $574 $155–$3,046 $164
2025 $190,586 $596 $159–$3,102 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. Stryker Corporation $753,845 393 payments
  2. Medical Device Business Services, Inc. $132,071 62 payments
  3. Medtronic, Inc. $124,838 81 payments
  4. Globus Medical, Inc. $96,155 52 payments
  5. Medtronic USA, Inc. $49,502 31 payments
  6. VB Spine LLC $33,349 22 payments
  7. Arthrex, Inc. $26,672 8 payments
  8. DePuy Synthes Sales Inc. $952 18 payments
  9. United Orthopedics LLC $495 5 payments
  10. Spineart USA Inc $130 1 payment
  11. Other $42 1 payment

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Consulting Fee $757,430 113 payments
  2. Royalty or License $197,200 39 payments
  3. Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program $173,225 23 payments
  4. Travel and Lodging $70,883 201 payments
  5. Food and Beverage $19,315 298 payments
Products named General payments · program years 2019–2025
  1. XIA 3 $180,429 38 payments
  2. CASCADIA INTERBODY SYSTEM $84,478 83 payments
  3. XIA $82,682 28 payments
  4. EVEREST SPINAL SYSTEM $76,940 27 payments
  5. EXPEDIUM Spine $63,985 9 payments
  6. CAPRI CORPECTOMY CAGE SYSTEM $50,463 15 payments
  7. ES2 SPINAL SYSTEM $46,446 25 payments
  8. CORE $44,367 23 payments
  9. TRITANIUM $40,928 32 payments
  10. EXPEDIUM Spine $39,988 13 payments
  11. Other $701,446 399 payments

A payment can name more than one product, so these amounts overlap and do not add up to the general-payment figure.

Prescribing to Medicare patients

Part D · data year 2024 · 10 drugs

Part D claims

281

Median for Neurosurgery: 83

Drug cost

$2,340

Median for Neurosurgery: $872

Branded share of claims

8.5%

Median for Neurosurgery: 16.5%

Drugs this doctor was counted under in Medicare Part D 2024, by drug cost
Drug Type Relative to their largest Claims Drug cost
Gabapentin Generic 41 $516
Oxycodone Hcl Generic 77 $471
Pregabalin Generic 18 $437
Methocarbamol Generic 43 $437
Methylprednisolone Generic 32 $180
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 12 $97
Baclofen Generic 12 $75
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 12 $72
Tramadol Hcl Generic 23 $53
Diazepam Generic 11 $5

Drug cost is what was paid for the drugs at the pharmacy — by Medicare, the patient and others — and is not money to the prescriber. Medicare Part D only: drugs dispensed to Medicare beneficiaries. A drug with fewer than 11 claims for this prescriber is not published, so a missing drug does not mean zero. The medians are for the 2,779 Part D prescribers listed as Neurosurgery; they describe a distribution and say nothing about conduct.

Billing to Medicare

Part B · data year 2024 · 69 billing codes

Paid by Medicare

$173,881

Medicare's payments for the services billed

Medicare patients

247

Average age 72

Services billed

614

127 women, 120 men among their patients

Share of this provider's Medicare patients with each condition
Condition among their Medicare patients Relative to the most common Share of patients
High blood pressure 75%
Arthritis 75%
Diabetes 30%
Ischemic heart disease 29%
Chronic kidney disease 26%
Depression 26%
Cancer 21%
Heart failure 15%

Medicare Part B only: services billed to Medicare. Rows covering fewer than 11 beneficiaries are not published. Only drugs given in the clinic are itemised here; the rest of what this provider billed is in the total above.

Records

674 reported

Every payment, record by record

Date, company, amount, what it was for and the product named — filter by year, kind and company, or download as CSV.

Other Neurological Surgery in Georgia

Related records

What this means

U.S. law requires drug and medical device manufacturers to report payments and transfers of value they make to physicians and teaching hospitals. The Centers for Medicare & Medicaid Services publishes that record each year. This page shows what was reported about this person, and nothing else.

An ownership interest is different from the other two. It is not a payment: it is a stake — shares, options, a partnership holding — that a physician or an immediate family member held in a manufacturer during that year. The figure shown is what the stake was reported to be worth.

Research payments frequently pass through a clinician to the institution running a trial, and rarely represent personal income. They should be read differently from general payments.

Provenance

Source: CMS Open Payments · through program year 2025

Data current to program year 2025, from CMS's 2026 publication.

We reproduce what manufacturers reported. We do not verify, edit or correct the underlying records.

A payment record is not evidence of wrongdoing. Financial relationships between industry and medicine are legal, common and often necessary for research. Who Paid My Doc reports what was disclosed; it does not judge it.

Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency. It is not a consumer reporting agency and this is not a consumer report; do not use it for decisions covered by the Fair Credit Reporting Act.

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