Physician profile
Robert E Ayer
NPI 1891902714
$19,495.06
in general payments reported to CMS, 2019-2025
47 companies · $1,075 in 2025
The $1,075 reported for 2025 was more 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: $2,320 · 2020: $3,634 · 2021: $2,370 · 2022: $4,493 · 2023: $4,363 · 2024: $1,241 · 2025: $1,075.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $5,178 · Consulting Fee: $1,500.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $5,178.48 |
| Consulting Fee | $1,500.00 |
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 |
|---|---|---|---|
| Nuvasive, INC. | $6,283.60 | 2019-2023 | Pulse, Attrax, Tlx |
| Abbott Laboratories | $3,295.39 | 2019-2024 | Proclaim, Eterna |
| Spineology INC. | $1,786.77 | 2020-2024 | Optimesh Expandable Interbody Fusion System |
| Mirus, LLC | $1,525.00 | 2022 | |
| Medtronic, INC. | $834.78 | 2021-2025 | Kyphon Express II Kyphopak Tray, Intellis Adaptivestim, Synchromedii |
| Arteriocyte Medical Systems, INC. | $724.52 | 2022-2025 | Magellan |
| Globus Medical, INC. | $570.57 | 2019-2025 | Senza, Xlif, Reline |
| Spinal Simplicity, LLC | $530.24 | 2022-2025 | Ha Minuteman G3-R |
| Si-Bone, INC. | $509.91 | 2019-2024 | |
| Stryker Corporation | $391.37 | 2019-2023 | Avs Navigator, Spinejack, Capri Corpectomy Cage System |
| Boston Scientific Corporation | $386.58 | 2020-2024 | Wavewriter Alpha Prime 16 |
| Djo, LLC | $340.85 | 2023-2025 | Cmf |
| Medtronic USA, INC. | $288.34 | 2019-2020 | |
| Intrinsic Therapeutics | $201.24 | 2024-2025 | Barricaid Acd (Annular Closure Device) |
| Nexxt Spine LLC | $193.08 | 2024 | Nexxt Matrixx Systems, Struxxure Systems, Connexx Systems |
Show all 47 companies
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 Robert Ayer 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.