Medicare Enrolled
Dr. Lars Gardner, D.O.
Neurological Surgery · Raleigh, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Gardner from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Gardner
Dr. Lars Gardner is a neurological surgery specialist in Raleigh, NC, with 15 years of NPI registration. Based on federal Medicare data, Dr. Gardner performed 619 Medicare services across 478 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gardner received a total of $21,435 from 30 pharmaceutical and/or device companies across 258 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in neurological surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Gardner is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 15 years in practice
▲ Top 14% volume in NC
$21,435 industry payments
Medicare Practice Summary
Medicare Utilization ↗619
Medicare services
Top 14% in NC for neurological surgery
478
Unique beneficiaries
$160
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~41 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
107 | $27 | $107 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
100 | $126 | $416 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
92 | $88 | $270 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
47 | $169 | $1,462 |
| New patient office visit, complex (60-74 min) | 39 | $155 | $495 |
| Spinal fusion of additional segment A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column. |
38 | $242 | $1,475 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
29 | $36 | $107 |
| X-ray of lower and sacral spine, 2-3 views with bending An X-ray imaging test of the lower back and sacrum using 2 to 3 views, including bending positions. |
22 | $28 | $120 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
22 | $64 | $178 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
21 | $158 | $2,784 |
| Partial bone removal of additional lower back spine segment during fusion This procedure involves the partial removal of bone from an additional segment of the lower spine to release the spinal cord or nerves. It is performed as part of a spinal fusion surgery in the lower back. |
21 | $161 | $1,459 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
18 | $1,135 | $6,484 |
| Computer-assisted spinal procedure A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution. |
17 | $168 | $420 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
16 | $699 | $3,715 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
15 | $494 | $2,841 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
15 | $25 | $90 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
23.4% high complexity
0.0% medium
76.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$21,435
Total received (2018-2024)
Avg $3,062/year across 7 years
Top 30% in NC for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
258
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,399 (99.8%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$36 (0.2%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,635
2023
$969
2022
$931
2021
$3,061
2020
$1,632
2019
$4,437
2018
$7,771
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$1,902
Nevro Corp.
$150
BIOTRONIK NRO, Inc.
$135
Providence Medical Technology, Inc.
$100
Abbott Laboratories
$71
Circinus Medical Technology LLC
$66
Cerapedics Inc.
$52
Penumbra, Inc.
$38
XTANT MEDICAL INC
$34
Becton, Dickinson and Company
$31
Sanara MedTech Inc.
$29
Route 92 Medical, Inc.
$26
Top 3 companies account for 83.0% of 2024 payments
All-time payments by company (2018-2024) ›
Stryker Corporation
$5,749
Medtronic, Inc.
$2,808
Brainlab, Inc.
$2,778
Globus Medical, Inc.
$2,706
Abbott Laboratories
$2,259
Medtronic USA, Inc.
$2,177
Nevro Corp.
$796
Boston Scientific Corporation
$352
Providence Medical Technology, Inc.
$263
DePuy Synthes Sales Inc.
$235
Isto Technologies II, LLC
$227
Relievant Medsystems, Inc.
$198
Siemens Medical Solutions USA, Inc.
$170
BIOTRONIK NRO, Inc.
$135
Cerapedics Inc.
$121
Circinus Medical Technology LLC
$66
Baxter Healthcare
$41
Penumbra, Inc.
$38
CSL Behring
$36
XTANT MEDICAL INC
$34
Orthofix Medical, Inc.
$33
Becton, Dickinson and Company
$31
SI-BONE, INC.
$30
Sanara MedTech Inc.
$29
Route 92 Medical, Inc.
$26
Terumo BCT, Inc.
$24
Alexion Pharmaceuticals, Inc.
$22
MicroVention, Inc.
$20
Intrinsic Therapeutics
$15
AstraZeneca Pharmaceuticals LP
$15
Top 3 companies account for 52.9% of all-time payments
Associated products mentioned in payments ›
8F BASE CAMP SHEATH SYSTEM · ACCULIF · ALIF Instruments (Universal) · ANDEXXA · AQUAMANTYS · AQUAMANTYS(TM) · ARTiC-L · Artis Q floor · BRILINTA · Barricaid Annular Closure Device · Bolt Navigation · Bone Marrow Aspirate Concentrate System · CAPSTONE · CATALYFT PL EXPANDABLE INTERBODY SYSTEM · CD HORIZON SPINAL SYSTEM · CORBEL · CellerateRx · DIVERGENCE-L · ELEVATE · ETERNA · EVEREST SPINAL SYSTEM · EXPEDIUM · Excelsius - GPS · Excelsius Robotics System · ExcelsiusGPS Robotic Navigation System · FLOSEAL · GENERAL PAIN MANAGEMENT · GRAFTONAND GRAFTON PLUSDEMINERALIZED BONE MATRIX (DBM) · General - Pain Management · HydroSoft 3D Coil · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INTELLIS · INTELLIS ADAPTIVESTIM · Intracept · KYPHON Balloon Kyphoplasty · KYPHON EXPRESS II KYPHOPAK TRAY · Kcentra · MAZOR X SYSTEM · MEDTRONIC REUSABLE INSTRUMENTS · MIDAS REX · Mazor X Stealth Edition · MazorX - Renaissance · O-ARM-ST · O-ARM-Spine · OSTEOCOOL RF ABLATION · Omnia · PIVOX Oblique Lateral Spinal System · PLASMABLADE(TM) · PROCLAIM · Penumbra System · Proclaim IPG · Prospera · SECURE-C · SERRATO · SPACE-D SYSTEM 5.5/6.0 VOYAGER INSTRUMENT SET · SPECTRA WAVEWRITER · SYMPHONY · Senza · Senza II · Senza Spinal Cord Stimulation System · Spinal-Stim · TRITANIUM · UNID_PASS · VISUALASE · XIA · YUKON OCT SPINAL SYSTEM · ZEVO
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Neurological surgerists within 10 mi
41
Per 100K population
3.6
County median income
$101,763
Nearest hospital
REX HOSPITAL
5.6 mi
5.6 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Gardner is a clinical cardiology specialist, with above-average Medicare volume (top 14% in NC), with low-engagement industry engagement, with 15 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gardner experienced with x-ray of lower and sacral spine, 2-3 views?
Based on Medicare claims data, Dr. Gardner performed 107 x-ray of lower and sacral spine, 2-3 views services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Gardner receive payments from pharmaceutical companies?
Yes. Dr. Gardner received a total of $21,435 from 30 companies across 258 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Gardner's costs compare to other neurological surgerists in Raleigh?
Dr. Gardner's average Medicare payment per service is $160. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Gardner) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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