Aaron Insel, MD
Hand Surgery · Danbury, CTNPI 1306072038
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.8%), consulting fees and education — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Johnson & Johnson at 32.1% of the total. Reporting peaked in 2019 at $3,439 and has fallen 76.0% since, to $827 in 2025.
Across 84 payments — averaging $65.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Gotham Surgical Solutions & Devices, Inc.$968
- Stryker$653
- Skeletal Dynamics Inc$231
- Orthofix Medical, Inc.$215
- Smith+Nephew$215
- plus $1K from 19 others
What the payments were for
- Consulting fees$1,49027%
- Travel & lodging$501%
- Food & beverage$3,02255%
- Education$84815%
- Gifts$1002%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Johnson & Johnson(3 entities) | 12 | $1,771 |
| Gotham Surgical Solutions & Devices, Inc. | 2 | $968 |
| Stryker | 9 | $653 |
| Skeletal Dynamics Inc | 2 | $231 |
| Orthofix Medical, Inc. | 8 | $215 |
| Smith+Nephew | 8 | $215 |
| Endo Pharmaceuticals Inc. | 4 | $197 |
| Pacira Therapeutics, Inc. | 5 | $179 |
| Bioventus LLC | 8 | $156 |
| Axogen | 5 | $151 |
| Davol Inc. | 2 | $111 |
| Vertex | 4 | $100 |
| Sonex Health, Inc. | 1 | $100 |
| Acumed LLC | 1 | $93 |
| Arthrex | 1 | $76 |
| Zimvie Inc. | 2 | $51 |
| Polaris Technology Solutions LLC | 1 | $43 |
| ERMI LLC | 1 | $32 |
| Amgen | 2 | $29 |
| DJO, LLC | 1 | $29 |
| Convatec Inc. | 1 | $26 |
| Avanos Medical | 1 | $25 |
| Abbott | 1 | $20 |
| Fidia Pharma USA Inc. | 1 | $20 |
| Ferring Pharmaceuticals Inc. | 1 | $19 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$5,510 in reported general payments places this provider in the 75th percentile of 54 hand surgery providers in Connecticut.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cefadroxil | 62 | $435 |
| Prednisone | 152 | $363 |
| Meloxicam | 63 | $204 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $173 |
| Tramadol Hcl | 38 | $106 |
| Methylprednisolone | 11 | $80 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $63 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Danbury
- John LuntDanbury$228
- Michael RedlerTrumbull$763K
- Richard BernsteinHamden$437K
- Lisa LattanzaNew Haven$156K
- Kenneth DonohueNew Haven$41K
- Paul ProtomastroNorwalk$16K
- Mark VitaleGreenwich$13K
- Erik CarlsonMiddlebury$13K
- Devon BandaGlastonbury$10K
- Douglas WischTorrington$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.