Physician profile
Angela Downes
NPI 1902056450
$29,321.33
in general payments reported to CMS, 2019-2025
19 companies · $4,726 in 2025
The $4,726 reported for 2025 was more than what 80% 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: $851 · 2020: $25.36 · 2021: $8,426 · 2022: $865 · 2023: $1,155 · 2024: $13K · 2025: $4,726.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Travel and Lodging: $11K · Consulting Fee: $4,500 · Food and Beverage: $3,351.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Travel and Lodging | $11,302.21 |
| Consulting Fee | $4,500.00 |
| Food and Beverage | $3,351.39 |
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 |
|---|---|---|---|
| Siemens Medical Solutions USA, INC. | $14,287.20 | 2024-2025 | Cios Spin, Multitom Rax |
| Nuvasive, INC. | $8,000.00 | 2021 | |
| Zavation Medical Products, LLC | $2,121.32 | 2024 | |
| Medtronic, INC. | $825.54 | 2022-2025 | Stealth Autoguide System, Prestige Lp Cervical Disc System, Mazor X System |
| Stryker Corporation | $812.18 | 2019-2024 | Augment Injectable, Universal Neuro 3, Everest Spinal System |
| Zimmer Biomet Holdings, INC. | $662.77 | 2019-2023 | Neuro Plating System |
| Alphatec Spine, INC | $607.42 | 2024 | Invictus Mis, Battalion Plif - Ps |
| Mizuho America, INC. | $425.61 | 2021-2022 | |
| Globus Medical, INC. | $412.04 | 2019-2021 | |
| Abbott Laboratories | $236.31 | 2022 | |
| Highridge Medical LLC | $226.18 | 2024 | Mobi-C Plug & Fit US |
| Providence Medical Technology, INC. | $211.85 | 2023 | |
| Orthofix Medical, INC. | $148.76 | 2023 | Spinal-Stim, Spinal-Stim |
| Depuy Synthes Sales INC. | $95.19 | 2024 | Teligen |
| Seaspine Orthopedics Corporation | $83.35 | 2022 |
Show all 19 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Carbofix Spine INC | $82.78 | 2025 | |
| Expanding Innovations, INC. | $29.50 | 2025 | X-Pac |
| Boston Scientific Corporation | $27.97 | 2023 | |
| Si-Bone, INC. | $25.36 | 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 Angela Downes 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.