Adam Fosnaugh, MD
Sports Medicine · Monroe, NCNPI 1326190232
Payments from drug & device makers
Across 30 payments — averaging $54.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$471
- Davol Inc.$287
- Zimmer Biomet$196
- Globus Medical$167
- Amgen$140
- Bioventus LLC$111
- plus $255 from 6 others
What the payments were for
- Food & beverage$1,627100%
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 |
|---|---|---|
| Smith+Nephew | 4 | $471 |
| Davol Inc. | 2 | $287 |
| Zimmer Biomet | 3 | $196 |
| Globus Medical | 3 | $167 |
| Amgen | 5 | $140 |
| Bioventus LLC | 5 | $111 |
| Episurf Medical, Inc. | 1 | $102 |
| Peerless Surgical Inc. | 1 | $48 |
| Medacta USA, Inc. | 2 | $38 |
| Johnson & Johnson | 2 | $30 |
| Convatec Inc. | 1 | $24 |
| Sanara Medtech Inc. | 1 | $14 |
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.
- Bone Anchors with Arthroscopic Delivery System$294
- EVOS$156
- Avenir$148
- Juggerknotless Soft Anchor$148
- BioWick X$148
- Comprehensive Shoulder System$148
- ARISTA AH FLEXITIP$145
- Surgiphor$142
- Regeneten$123
- Footprint Ultra PK. SL, 4.5 and 5.5mm Knotless Anchor$123
- Spine$104
How this compares
$1,627 in reported general payments places this provider in the 50th percentile of 158 sports medicine providers in North Carolina.
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 |
|---|---|---|
| Celecoxib | 53 | $1,016 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 76 | $524 |
| Cyclobenzaprine Hcl | 57 | $214 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 32 | $211 |
| Methylprednisolone | 23 | $156 |
| Gabapentin | 39 | $138 |
| Clindamycin Hcl | 18 | $103 |
| Meloxicam | 42 | $87 |
| Ondansetron Hcl | 28 | $83 |
| Tramadol Hcl | 21 | $65 |
| Alprazolam | 16 | $11 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Monroe
- Brian WatermanWinston Salem$466K
- Allston StubbsWinston Salem$184K
- Robert BoykinAsheville$143K
- Tally EddingsAsheville$109K
- William SilverDurham$82K
- Rebecca BassettGreensboro$69K
- Wallace HarrisAsheville$58K
- Alan ReynoldsGreensboro$54K
- Fletcher PreussCharlotte$53K
- Anthony MaroisSherrills Ford$47K
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.