Physician profile
Gary Paul Cram
NPI 1013900216
$1,865.25
in general payments reported to CMS, 2019-2025
14 companies · $142 in 2025
The $142 reported for 2025 was less than what a typical Neurological Surgery provider received nationally (typical 2025 total: $604).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $775 · 2020: $67.13 · 2021: $402 · 2022: $81.35 · 2023: $306 · 2024: $90.79 · 2025: $142.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $516 · Travel and Lodging: $23.79.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $515.53 |
| Travel and Lodging | $23.79 |
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 |
|---|---|---|---|
| Globus Medical, INC. | $857.97 | 2019-2023 | Elsa, Elsa Al/Atp, Alif Instruments (Universal) |
| Medtronic, INC. | $226.18 | 2021-2025 | Cd Horizon Spinal System, Aquamantys(Tm) |
| Providence Medical Technology, INC. | $224.76 | 2023-2025 | |
| Zimmer Biomet Holdings, INC. | $109.27 | 2021 | |
| Boston Scientific Corporation | $106.26 | 2021-2025 | Wavewriter Alpha Prime 16, General - Pain Management |
| Medtronic USA, INC. | $90.12 | 2019-2020 | |
| Intrinsic Therapeutics | $82.00 | 2021 | |
| Integra Lifesciences Corporation | $34.24 | 2023-2024 | Codman Isocool Aht, Microfrance, Integra |
| Si-Bone, INC. | $28.93 | 2022 | |
| Arbor Pharmaceuticals, INC. | $28.04 | 2021 | |
| Heron Therapeutics, INC. | $24.64 | 2024 | Zynrelef |
| Spine Wave, INC. | $23.79 | 2025 | Spinal Implant |
| Pacira Pharmaceuticals Incorporated | $14.88 | 2022 | |
| Djo, LLC | $14.17 | 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 Gary Cram 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.