Covered recipient · General Payments record

BRIAN FIANI

Allopathic & Osteopathic Physicians Neurological Surgery

NPI: 1366835662
CMS profile: 4227767
Location: SHELBY TOWNSHIP, MI

General Payments · PY2018–2024

$73,418.50

Reported across 209 records
CMS publication 2026-01-23

Latest program year · PY2024

$65,391.26

131 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated

The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2024 · sorted by reported total

Nature of payment	Amount	Records
Consulting Fee	$47,350.00	29
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$9,875.00	8
Food and Beverage	$5,554.13	82
Travel and Lodging	$2,612.13	12

By paying entity

PY2024 · sorted by reported total

Paying entity	Amount	Records
OssDsign Incorporated	$17,908.96	17
DJO, LLC	$17,328.62	14
Medtronic, Inc.	$10,363.38	16
Integrity Implants Inc.	$5,508.92	19
4WEB, INC.	$4,400.69	8
CG MEDTECH USA, INC	$4,050.00	1
Nevro Corp.	$1,511.82	32
Medyssey USA, Inc	$1,500.00	1
Endo Pharmaceuticals Inc.	$700.00	1
Abbott Laboratories	$664.82	5
SPINAL ELEMENTS, INC.	$517.22	7
Endo USA, Inc.	$350.00	1
Innovasis Inc	$211.52	3
Orthofix Medical, Inc.	$115.69	1
Spineology Inc.	$108.36	1
MIMEDX Group, Inc.	$88.14	1
Stryker Corporation	$22.64	1
Saluda Medical Americas, Inc.	$22.34	1
PROVIDENCE MEDICAL TECHNOLOGY, INC.	$18.14	1

By program year

All program years on this page · sorted by year

Program year	Amount	Records
PY2018	$904.96	9
PY2019	$133.84	1
PY2021	$158.65	6
PY2022	$508.28	7
PY2023	$6,321.51	55
PY2024	$65,391.26	131

Payment records · PY2024 (131)

Sorted by paying entity, then date · as published by CMS

Program year 2024 2018 2019 2021 2022 2023 Record-level detail is published for PY2024; earlier years are summarised in “By program year”.

Paying entity	Amount	Date	Nature of payment	Dispute status	Published	Record ID	Source
4WEB, Inc.	$111.48	01/09/2024	Food and Beverage	Undisputed	01/23/2026	1143851362	CMS
4WEB, Inc.	$103.38	05/13/2024	Food and Beverage	Undisputed	01/23/2026	1143851364	CMS
4WEB, Inc.	$1,500.00	07/03/2024	Consulting Fee	Undisputed	01/23/2026	1143850367	CMS
4WEB, Inc.	$36.05	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1143851366	CMS
4WEB, Inc.	$32.00	07/29/2024	Food and Beverage	Undisputed	01/23/2026	1143851368	CMS
4WEB, Inc.	$117.78	09/11/2024	Food and Beverage	Undisputed	01/23/2026	1143851370	CMS
4WEB, Inc.	$1,500.00	09/18/2024	Consulting Fee	Undisputed	01/23/2026	1143850369	CMS
4WEB, Inc.	$1,000.00	11/08/2024	Consulting Fee	Undisputed	01/23/2026	1143850371	CMS
Abbott Laboratories	$109.75	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1125030466	CMS
Abbott Laboratories	$125.88	02/21/2024	Food and Beverage	Undisputed	01/23/2026	1125030471	CMS
Abbott Laboratories	$144.14	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1125030474	CMS
Abbott Laboratories	$139.20	03/21/2024	Food and Beverage	Undisputed	01/23/2026	1125030478	CMS
Abbott Laboratories	$145.85	04/01/2024	Food and Beverage	Undisputed	01/23/2026	1125030482	CMS
DJO, LLC	$116.11	01/26/2024	Travel and Lodging	Undisputed	01/23/2026	1154737938	CMS
DJO, LLC	$237.56	01/26/2024	Travel and Lodging	Undisputed	01/23/2026	1154737940	CMS
DJO, LLC	$120.57	01/27/2024	Travel and Lodging	Undisputed	01/23/2026	1154737936	CMS
DJO, LLC	$223.84	01/27/2024	Travel and Lodging	Undisputed	01/23/2026	1154737942	CMS
DJO, LLC	$750.00	03/06/2024	Consulting Fee	Undisputed	01/23/2026	1154737908	CMS
DJO, LLC	$6,000.00	03/06/2024	Consulting Fee	Undisputed	01/23/2026	1154737910	CMS
DJO, LLC	$1,500.00	03/06/2024	Consulting Fee	Undisputed	01/23/2026	1154737912	CMS
DJO, LLC	$3,000.00	03/06/2024	Consulting Fee	Undisputed	01/23/2026	1154737914	CMS
DJO, LLC	$70.54	03/06/2024	Food and Beverage	Undisputed	01/23/2026	1154737916	CMS
DJO, LLC	$60.00	03/06/2024	Travel and Lodging	Undisputed	01/23/2026	1154737918	CMS
DJO, LLC	$750.00	10/17/2024	Consulting Fee	Undisputed	01/23/2026	1154737902	CMS
DJO, LLC	$3,000.00	10/17/2024	Consulting Fee	Undisputed	01/23/2026	1154737904	CMS
DJO, LLC	$750.00	11/26/2024	Consulting Fee	Undisputed	01/23/2026	1154737906	CMS
DJO, LLC	$750.00	11/26/2024	Consulting Fee	Undisputed	01/23/2026	1154737920	CMS
Endo Pharmaceuticals Inc.	$700.00	02/01/2024	Consulting Fee	Undisputed	01/23/2026	1137014036	CMS
Endo USA, Inc.	$350.00	04/30/2024	Consulting Fee	Undisputed	01/23/2026	1138580391	CMS
INNOSYS MEDICAL TECHNOLOGIES INC	$4,050.00	11/25/2024	Consulting Fee	Undisputed	01/23/2026	1133891703	CMS
Innovasis Inc	$81.19	01/17/2024	Food and Beverage	Undisputed	01/23/2026	1139171470	CMS
Innovasis Inc	$12.87	02/10/2024	Food and Beverage	Undisputed	01/23/2026	1139171471	CMS
Innovasis Inc	$117.46	03/18/2024	Food and Beverage	Undisputed	01/23/2026	1139171472	CMS
Integrity Implants Inc. dba Accelus	$236.09	01/09/2024	Travel and Lodging	Undisputed	01/23/2026	1151326985	CMS
Integrity Implants Inc. dba Accelus	$428.10	01/10/2024	Travel and Lodging	Undisputed	01/23/2026	1151326987	CMS
Integrity Implants Inc. dba Accelus	$400.00	01/17/2024	Travel and Lodging	Undisputed	01/23/2026	1151326989	CMS
Integrity Implants Inc. dba Accelus	$338.10	01/17/2024	Travel and Lodging	Undisputed	01/23/2026	1151326991	CMS
Integrity Implants Inc. dba Accelus	$2.57	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1151326967	CMS
Integrity Implants Inc. dba Accelus	$12.88	01/19/2024	Food and Beverage	Undisputed	01/23/2026	1151326969	CMS
Integrity Implants Inc. dba Accelus	$24.68	01/20/2024	Food and Beverage	Undisputed	01/23/2026	1151326971	CMS
Integrity Implants Inc. dba Accelus	$202.09	01/20/2024	Food and Beverage	Undisputed	01/23/2026	1151326973	CMS
Integrity Implants Inc. dba Accelus	$59.10	01/21/2024	Travel and Lodging	Undisputed	01/23/2026	1151326993	CMS
Integrity Implants Inc. dba Accelus	$281.07	01/21/2024	Travel and Lodging	Undisputed	01/23/2026	1151326995	CMS
Integrity Implants Inc. dba Accelus	$31.13	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1151326975	CMS
Integrity Implants Inc. dba Accelus	$133.68	01/22/2024	Food and Beverage	Undisputed	01/23/2026	1151326977	CMS
Integrity Implants Inc. dba Accelus	$111.59	01/28/2024	Travel and Lodging	Undisputed	01/23/2026	1151326997	CMS
Integrity Implants Inc. dba Accelus	$500.00	02/15/2024	Consulting Fee	Undisputed	01/23/2026	1151326961	CMS
Integrity Implants Inc. dba Accelus	$69.28	04/24/2024	Food and Beverage	Undisputed	01/23/2026	1151326979	CMS
Integrity Implants Inc. dba Accelus	$1,500.00	08/20/2024	Consulting Fee	Undisputed	01/23/2026	1151326963	CMS
Integrity Implants Inc. dba Accelus	$1,000.00	09/05/2024	Consulting Fee	Undisputed	01/23/2026	1151326965	CMS
Integrity Implants Inc. dba Accelus	$149.75	12/11/2024	Food and Beverage	Undisputed	01/23/2026	1151326981	CMS
Integrity Implants Inc. dba Accelus	$28.81	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1151326983	CMS
Medtronic, Inc.	$29.96	01/25/2024	Food and Beverage	Undisputed	01/23/2026	1119288342	CMS
Medtronic, Inc.	$124.35	02/05/2024	Food and Beverage	Undisputed	01/23/2026	1119288344	CMS
Medtronic, Inc.	$57.54	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1119288346	CMS
Medtronic, Inc.	$15.90	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1119288348	CMS
Medtronic, Inc.	$9.60	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1119288350	CMS
Medtronic, Inc.	$89.85	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1119288352	CMS
Medtronic, Inc.	$121.07	07/24/2024	Food and Beverage	Undisputed	01/23/2026	1119288354	CMS
Medtronic, Inc.	$1,950.00	08/20/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053257	CMS
Medtronic, Inc.	$487.50	08/20/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053259	CMS
Medtronic, Inc.	$40.11	08/22/2024	Food and Beverage	Undisputed	01/23/2026	1119288356	CMS
Medtronic, Inc.	$650.00	08/27/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053261	CMS
Medtronic, Inc.	$487.50	10/04/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053263	CMS
Medtronic, Inc.	$650.00	10/23/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053265	CMS
Medtronic, Inc.	$650.00	10/23/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053267	CMS
Medtronic, Inc.	$2,500.00	12/04/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053269	CMS
Medtronic, Inc.	$2,500.00	12/18/2024	Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	Undisputed	01/23/2026	1112053271	CMS
Medyssey USA, Inc	$1,500.00	12/10/2024	Consulting Fee	Undisputed	01/23/2026	1148638608	CMS
MIMEDX Group, Inc.	$88.14	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1140259071	CMS
Nevro Corp.	$135.57	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1130756178	CMS
Nevro Corp.	$28.13	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1130756180	CMS
Nevro Corp.	$35.72	01/11/2024	Food and Beverage	Undisputed	01/23/2026	1130756182	CMS
Nevro Corp.	$28.53	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1130756000	CMS
Nevro Corp.	$78.26	02/07/2024	Food and Beverage	Undisputed	01/23/2026	1130756156	CMS
Nevro Corp.	$152.95	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1130756168	CMS
Nevro Corp.	$38.24	02/08/2024	Food and Beverage	Undisputed	01/23/2026	1130756170	CMS
Nevro Corp.	$131.42	02/29/2024	Food and Beverage	Undisputed	01/23/2026	1130756172	CMS
Nevro Corp.	$17.05	03/19/2024	Food and Beverage	Undisputed	01/23/2026	1130756122	CMS
Nevro Corp.	$10.17	04/18/2024	Food and Beverage	Undisputed	01/23/2026	1130756138	CMS
Nevro Corp.	$18.27	04/30/2024	Food and Beverage	Undisputed	01/23/2026	1130756134	CMS
Nevro Corp.	$117.16	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1130756152	CMS
Nevro Corp.	$33.69	05/10/2024	Food and Beverage	Undisputed	01/23/2026	1130756154	CMS
Nevro Corp.	$12.00	05/14/2024	Food and Beverage	Undisputed	01/23/2026	1130756036	CMS
Nevro Corp.	$13.31	05/30/2024	Food and Beverage	Undisputed	01/23/2026	1130756120	CMS
Nevro Corp.	$10.39	06/10/2024	Food and Beverage	Undisputed	01/23/2026	1130756128	CMS
Nevro Corp.	$6.94	06/18/2024	Food and Beverage	Undisputed	01/23/2026	1130756140	CMS
Nevro Corp.	$124.26	06/19/2024	Food and Beverage	Undisputed	01/23/2026	1130756148	CMS
Nevro Corp.	$16.30	07/01/2024	Food and Beverage	Undisputed	01/23/2026	1130756142	CMS
Nevro Corp.	$10.54	07/03/2024	Food and Beverage	Undisputed	01/23/2026	1130756132	CMS
Nevro Corp.	$14.34	07/04/2024	Food and Beverage	Undisputed	01/23/2026	1130756166	CMS
Nevro Corp.	$6.67	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1130756118	CMS
Nevro Corp.	$78.50	07/16/2024	Food and Beverage	Undisputed	01/23/2026	1130756124	CMS
Nevro Corp.	$127.76	08/13/2024	Food and Beverage	Undisputed	01/23/2026	1130756174	CMS
Nevro Corp.	$13.06	08/21/2024	Food and Beverage	Undisputed	01/23/2026	1130756126	CMS
Nevro Corp.	$98.54	09/05/2024	Food and Beverage	Undisputed	01/23/2026	1130756150	CMS
Nevro Corp.	$25.94	09/16/2024	Food and Beverage	Undisputed	01/23/2026	1130756162	CMS
Nevro Corp.	$14.04	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1130756164	CMS
Nevro Corp.	$14.25	09/23/2024	Food and Beverage	Undisputed	01/23/2026	1130756160	CMS
Nevro Corp.	$68.01	09/27/2024	Food and Beverage	Undisputed	01/23/2026	1130756136	CMS
Nevro Corp.	$16.11	10/10/2024	Food and Beverage	Undisputed	01/23/2026	1130756130	CMS
Nevro Corp.	$15.70	10/14/2024	Food and Beverage	Undisputed	01/23/2026	1130756158	CMS
Orthofix Medical, Inc.	$115.69	03/28/2024	Food and Beverage	Undisputed	01/23/2026	1127584440	CMS
OssDsign Incorporated	$74.68	02/26/2024	Food and Beverage	Undisputed	01/23/2026	1090773358	CMS
OssDsign Incorporated	$1,000.00	04/16/2024	Consulting Fee	Undisputed	01/23/2026	1119242865	CMS
OssDsign Incorporated	$2,250.00	05/28/2024	Consulting Fee	Undisputed	01/23/2026	1119242864	CMS
OssDsign Incorporated	$2,250.00	06/10/2024	Consulting Fee	Undisputed	01/23/2026	1119242861	CMS
OssDsign Incorporated	$118.62	06/13/2024	Food and Beverage	Undisputed	01/23/2026	1100186638	CMS
OssDsign Incorporated	$500.00	06/14/2024	Consulting Fee	Undisputed	01/23/2026	1119242859	CMS
OssDsign Incorporated	$2,000.00	07/10/2024	Consulting Fee	Undisputed	01/23/2026	1119242821	CMS
OssDsign Incorporated	$500.00	07/10/2024	Consulting Fee	Undisputed	01/23/2026	1119242857	CMS
OssDsign Incorporated	$3,250.00	07/18/2024	Consulting Fee	Undisputed	01/23/2026	1119242814	CMS
OssDsign Incorporated	$125.37	08/07/2024	Food and Beverage	Undisputed	01/23/2026	1116746400	CMS
OssDsign Incorporated	$1,000.00	08/27/2024	Consulting Fee	Undisputed	01/23/2026	1119240057	CMS
OssDsign Incorporated	$2,000.00	09/04/2024	Consulting Fee	Undisputed	01/23/2026	1119240054	CMS
OssDsign Incorporated	$123.35	09/18/2024	Food and Beverage	Undisputed	01/23/2026	1118401249	CMS
OssDsign Incorporated	$1,500.00	10/11/2024	Consulting Fee	Undisputed	01/23/2026	1119240051	CMS
OssDsign Incorporated	$109.02	10/22/2024	Food and Beverage	Undisputed	01/23/2026	1118401174	CMS
OssDsign Incorporated	$1,000.00	11/27/2024	Consulting Fee	Undisputed	01/23/2026	1119240046	CMS
OssDsign Incorporated	$107.92	12/12/2024	Food and Beverage	Undisputed	01/23/2026	1113459089	CMS
Providence Medical Technology, Inc.	$18.14	04/08/2024	Food and Beverage	Undisputed	01/23/2026	1089608693	CMS
Saluda Medical Americas, Inc.	$22.34	10/09/2024	Food and Beverage	Undisputed	01/23/2026	1093675120	CMS
SPINAL ELEMENTS, INC.	$108.80	01/03/2024	Food and Beverage	Undisputed	01/23/2026	1154770833	CMS
SPINAL ELEMENTS, INC.	$64.47	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1154770843	CMS
SPINAL ELEMENTS, INC.	$7.46	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1154770847	CMS
SPINAL ELEMENTS, INC.	$4.52	02/02/2024	Food and Beverage	Undisputed	01/23/2026	1154770849	CMS
SPINAL ELEMENTS, INC.	$122.72	02/03/2024	Food and Beverage	Undisputed	01/23/2026	1154770841	CMS
SPINAL ELEMENTS, INC.	$132.13	02/03/2024	Food and Beverage	Undisputed	01/23/2026	1154771051	CMS
SPINAL ELEMENTS, INC.	$77.12	02/23/2024	Food and Beverage	Undisputed	01/23/2026	1154770853	CMS
Spineology Inc.	$108.36	12/02/2024	Food and Beverage	Undisputed	01/23/2026	1115748784	CMS
Stryker Corporation	$22.64	04/21/2024	Food and Beverage	Undisputed	01/23/2026	1119827457	CMS

Source & provenance

Dataset: CMS Open Payments — General Payments
Publisher of source data: Centers for Medicare & Medicaid Services
CMS publication date: 2026-01-23
Program years on this page: 2018, 2019, 2021, 2022, 2023, 2024
Source files: Dataset page · Bulk file · PY2018 , PY2019 , PY2021 , PY2022 , PY2023 , PY2024
Generated from: OP_DTL_GNRL_PGYR2024_P01232026_01102026.csv

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Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.