Dark Star
Payments companies reported to CMS as associated with Dark Star. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Dark Star, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Dark Star
These are the largest totals companies reported as associated with Dark Star. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Simon Chao | North Easton, MA | Orthopaedic Surgery | $124,873.34 |
| Timur Urakov | Miami, FL | Neurological Surgery | $72,900.00 |
| Samuel Joseph | Safety Harbor, FL | Orthopaedic Surgery of The Spine | $28,332.00 |
| Henry Fabian | Steamboat Springs, CO | Orthopaedic Surgery of The Spine | $6,613.29 |
| Raphael Roybal | Savannah, GA | Orthopaedic Surgery of The Spine | $1,482.87 |
| David Greenwald | St Augustine, FL | Neurological Surgery | $500.81 |
| Edward Smith | Meridian, MS | Orthopaedic Surgery of The Spine | $360.91 |
| James Davidson | Clearwater, FL | Orthopaedic Surgery of The Spine | $243.83 |
| Osama Ahmed | Live Oak, TX | Neurological Surgery | $234.85 |
| Shivam Upadhyaya | Port Saint Lucie, FL | Orthopaedic Surgery | $232.69 |
Prescribed Dark Star?
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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.