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

Robert Ayer

Neurological Surgery Lawrenceville, GA Medical Doctor

NPI 1891902714 CMS profile 388869

575 Professional Dr, Suite 350, Lawrenceville, GA 30046

Open in the dashboard

General payments

$19,495

218 records reported · program years 2019–2025

Research payments

$0

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

Ownership & investment interest

$0

None reported

Through program year 2025, Robert Ayer of Lawrenceville, GA is reported in the CMS Open Payments database as having received $19,495 across 218 general payments and $0 in research payments paid to them.

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 78th percentile of Neurological Surgery profiles with reported payments. Percentile describes the distribution, not the conduct.

By program year

7 rows
Year Kind Relative to this record's peak year Amount Records
2025 General $1,075 17
2024 General $1,241 19
2023 General $4,363 43
2022 General $4,493 40
2021 General $2,370 42
2020 General $3,634 20
2019 General $2,320 37

Beside peers

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

In program year 2025, general payments to Robert Ayer were reported at $1,075. 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 Robert Ayer Neurological Surgery median Middle half National median
2019 $2,320 $582 $138–$3,006 $163
2020 $3,634 $294 $76–$2,174 $114
2021 $2,370 $387 $105–$2,432 $132
2022 $4,493 $542 $139–$2,989 $149
2023 $4,363 $534 $145–$2,697 $160
2024 $1,241 $574 $155–$3,046 $164
2025 $1,075 $596 $159–$3,102 $169

Breakdown

Who paid General payments · program years 2019–2025
  1. NuVasive, Inc. $6,284 31 payments
  2. Abbott Laboratories $3,295 52 payments
  3. Spineology Inc. $1,787 8 payments
  4. MiRus, LLC $1,525 3 payments
  5. Medtronic, Inc. $835 11 payments
  6. Arteriocyte Medical Systems, Inc. $725 4 payments
  7. Globus Medical, Inc. $571 5 payments
  8. Spinal Simplicity, LLC $530 13 payments
  9. SI-BONE, Inc. $510 13 payments
  10. Stryker Corporation $391 7 payments
  11. Other $3,043 71 payments

Every payment, record by record

What the payments were for General payments · program years 2019–2025
  1. Food and Beverage $12,648 209 payments
  2. Consulting Fee $6,600 5 payments
  3. Travel and Lodging $199 3 payments
  4. Entertainment $47 1 payment
Products named General payments · program years 2019–2025
  1. Pulse $2,748 8 payments
  2. OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM $1,586 5 payments
  3. Proclaim IPG $1,535 20 payments
  4. CYGNUS Anterior Cervical Plate $1,525 3 payments
  5. EUROPA Pedicle Screw System $1,525 3 payments
  6. RIGEL 3DR Cervical Interbody $1,525 3 payments
  7. IO Expandable Lumbar Interbody $1,525 3 payments
  8. MiRus 3DR Lumbar Interbody System $1,525 3 payments
  9. XLIF $1,332 3 payments
  10. ALIF $1,239 2 payments
  11. Other $11,119 180 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 · 11 drugs

Part D claims

379

Median for Neurosurgery: 83

Drug cost

$4,223

Median for Neurosurgery: $872

Branded share of claims

32.2%

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
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen Brand 68 $1,115
Methocarbamol Generic 68 $866
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen Brand 54 $766
Gabapentin Generic 66 $691
Tizanidine Hcl Generic 19 $221
Diclofenac Sodium Generic 23 $216
Methylprednisolone Generic 15 $103
Cyclobenzaprine Hcl Generic 14 $91
Oxycodone Hcl Generic 12 $75
Tramadol Hcl Generic 23 $68

The 10 drugs with the highest cost, of 11 counted.

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 · 74 billing codes

Paid by Medicare

$149,043

Of which drugs: $23

Medicare patients

199

Average age 73

Services billed

932

107 women, 92 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 35%
Ischemic heart disease 32%
Depression 31%
Chronic kidney disease 28%
COPD 19%
Osteoporosis 18%
Drugs given in the clinic that this provider billed Medicare Part B for
Drug given in the clinic Where Patients Services Paid by Medicare
Injection, dexamethasone sodium phosphate, 1 mg J1100 Office 52 138 $13
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966 Office 33 37 $10

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

218 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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