Physician profile
Igor De Castro
NPI 1619161221
$450,260.45
in general payments reported to CMS, 2019-2025
30 companies · $19K in 2025
The $19K reported for 2025 was more than what 90% of Neurological Surgery providers received nationally (typical 2025 total: $604).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $76K · 2020: $78K · 2021: $77K · 2022: $100K · 2023: $65K · 2024: $36K · 2025: $19K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Consulting Fee: $78K · Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program: $25K · Travel and Lodging: $16K · Food and Beverage: $2,014.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Consulting Fee | $77,800.00 |
| Compensation For Services Other Than Consulting, Including Serving As Faculty Or As A Speaker At A Venue Other Than A Continuing Education Program | $24,750.00 |
| Travel and Lodging | $15,832.09 |
| Food and Beverage | $2,014.43 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Arteriocyte Medical Systems, INC. | $278,719.86 | 2019-2023 | Magellan |
| Medtronic, INC. | $67,923.47 | 2021-2025 | Mazor X System, Midas Rex |
| Nuvasive, INC. | $36,745.38 | 2019-2023 | Tlif, Xlif |
| Medtronic USA, INC. | $31,307.01 | 2019-2020 | |
| Globus Medical, INC. | $25,208.43 | 2024-2025 | Tlif, Anthem, Elsa |
| Medical Device Business Services, INC. | $5,265.00 | 2019 | |
| Mirus, LLC | $2,500.00 | 2019-2020 | |
| 4web, INC. | $545.28 | 2019-2020 | |
| Stryker Corporation | $446.37 | 2019-2024 | Spinejack, Adherus Autospray Dural Sealant |
| Zimmer Biomet Holdings, INC. | $228.43 | 2021-2023 | Neuro Plating System |
| Spineology INC. | $198.04 | 2020 | |
| Boston Scientific Corporation | $177.41 | 2022-2025 | Coveredge 32, General - Pain Management, Wavewriter Alpha Prime 16 |
| Integra Lifesciences Corporation | $177.20 | 2021-2022 | |
| Procept Biorobotics Corporation | $149.45 | 2025 | |
| Si-Bone, INC. | $115.19 | 2019-2025 |
Show all 30 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Depuy Synthes Sales INC. | $91.51 | 2019 | |
| Lemaitre Vascular, INC. | $84.83 | 2022-2025 | Anastoclip Gc 8cm (Medium) |
| Djo, LLC | $76.74 | 2021-2024 | Cmf |
| Baxter Healthcare | $73.19 | 2021-2023 | Floseal |
| Titan Spine, LLC | $49.75 | 2019 | |
| Brainlab, INC. | $26.43 | 2021-2025 | Brainlab, INC. |
| Pacira Pharmaceuticals Incorporated | $25.84 | 2025 | Exparel |
| Innovation Technologies INC | $19.72 | 2024 | Irrisept |
| Astrazeneca Pharmaceuticals LP | $17.55 | 2023 | Andexxa |
| Ucb, INC. | $17.20 | 2019 | |
| Elutia, INC. | $15.68 | 2019 | |
| Electronic Waveform Lab, INC. | $14.75 | 2019 | |
| Spinal Elements, INC. | $14.14 | 2021 | |
| Alexion Pharmaceuticals, INC. | $13.49 | 2022 | |
| Irras USA, INC. | $13.11 | 2020 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Igor De Castro listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.