Physician profile
Brian James Gengler
NPI 1154684645
$10,716.24
in general payments reported to CMS, 2019-2025
22 companies · $83.88 in 2025
The $83.88 reported for 2025 was less than what a typical Orthopaedic Surgery of The Spine provider received nationally (typical 2025 total: $2,116).
See the full distribution for Orthopaedic Surgery of the Spine
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $45.60 · 2020: $1,434 · 2021: $5,313 · 2022: $2,743 · 2023: $20.62 · 2024: $1,077 · 2025: $83.88.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Travel and Lodging: $704 · Food and Beverage: $477.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Travel and Lodging | $704.17 |
| Food and Beverage | $477.13 |
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 |
|---|---|---|---|
| Medacta USA, INC. | $3,464.10 | 2020-2021 | |
| Cerapedics INC. | $3,223.42 | 2021 | |
| Nuvasive, INC. | $2,607.71 | 2022 | |
| Globus Medical, INC. | $495.42 | 2024 | Excelsiusgps Robotic Navigation System, Excelsius3d Imaging System |
| Arthrex, INC. | $272.65 | 2024 | |
| Medtronic, INC. | $267.62 | 2021-2024 | Mazor X System, Endoskeleton Tc Nanolock Surface Technology, Infinity Occipitocervical Upper Thoracic System |
| Centinel Spine, LLC | $61.83 | 2024 | Prodisc C Vivo |
| Nevro Corp. | $36.86 | 2024 | Senza |
| Spine Wave, INC. | $33.58 | 2025 | Salvo Spine System |
| Augmedics INC. | $31.26 | 2024 | Xvision |
| Choice Spine, LLC | $29.72 | 2019 | |
| Providence Medical Technology, INC. | $27.30 | 2022 | |
| Innovation Technologies INC | $24.93 | 2024 | Irrisept |
| Abbott Laboratories | $20.30 | 2024 | Proclaim |
| Pacira Pharmaceuticals Incorporated | $18.71 | 2025 | Exparel |
Show all 22 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Kerecis Limited | $17.54 | 2025 | Kerecis Surgiclose, Kerecis Graftguide |
| Djo, LLC | $15.88 | 2019 | |
| Depuy Synthes Sales INC. | $15.71 | 2021 | |
| Orthofix Medical, INC. | $14.20 | 2020 | |
| Ethicon US, LLC | $14.05 | 2025 | Vistaseal |
| Wenzel Spine, INC. | $12.62 | 2021 | |
| Arteriocyte Medical Systems, INC. | $10.83 | 2024 | Magellan |
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 Brian Gengler 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.