Physician profile
Tyler R Koski
NPI 1124041603
$2,300,078.93
in general payments reported to CMS, 2019-2025
12 companies · $449K in 2025
The $449K reported for 2025 was more than what 99% 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: $748K · 2020: $129K · 2021: $99K · 2022: $146K · 2023: $344K · 2024: $385K · 2025: $449K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Royalty Or License: $981K · Consulting Fee: $174K · Travel and Lodging: $18K · Food and Beverage: $5,341.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Royalty Or License | $981,298.30 |
| Consulting Fee | $174,175.00 |
| Travel and Lodging | $18,186.13 |
| Food and Beverage | $5,341.45 |
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. | $862,354.35 | 2019-2023 | Reline, Vuepoint, Xlif |
| Globus Medical, INC. | $483,353.55 | 2019-2025 | Reline, Vuepoint, Vuepoint |
| Medtronic, INC. | $459,418.87 | 2021-2025 | Cd Horizon Spinal System, Medtronic Reusable Instruments, Stealth Autoguide System |
| Alphatec Spine, INC | $241,677.25 | 2021-2025 | Other - Miscellaneous, Battalion Tlif - Pc, Arsenal Deformity |
| Medtronic USA, INC. | $206,106.30 | 2019-2020 | |
| Seaspine Orthopedics Corporation | $27,520.64 | 2021-2022 | |
| Orthofix Medical, INC. | $18,138.94 | 2023-2024 | Mariner Deformity, Waveform Ta, 7d Surgical System |
| Si-Bone, INC. | $1,105.50 | 2019 | |
| Spineart USA INC | $169.86 | 2025 | |
| Depuy Synthes Sales INC. | $135.88 | 2019-2025 | Teligen, Velys |
| Biocomposites INC | $57.19 | 2024 | |
| Pari Respiratory Equipment, INC. | $40.60 | 2024 | Kitabis Pak |
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 Tyler Koski 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.