Adam Shimer, MD
Orthopaedic Surgery · Charlottesville, VANPI 1346367695
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (39.9%), consulting fees and royalties or licence payments — rather than concentrated in one kind of arrangement. Medtronic accounts for 78.7% of it on its own, with 7 other manufacturers making up the rest. Among orthopaedic surgery clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 283 payments — averaging $1072.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$239K
- Globus Medical$53K
- Stryker$6K
- Cerapedics Inc.$4K
- Carlsmed, Inc.$486
- Life Spine, Inc.$395
- plus $394 from 2 others
Across 119 payments — averaging $6318.40 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Globus Medical$485K
- Medtronic$232K
- Cerapedics Inc.$35K
What the payments were for
- Royalty or licence$42,94014%
- Consulting fees$104,97335%
- Speaking & faculty fees$120,96340%
- Travel & lodging$27,0299%
- Food & beverage$7,4752%
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 |
|---|---|---|
| Medtronic(2 entities) | 211 | $238,724 |
| Globus Medical(2 entities) | 50 | $53,240 |
| Stryker | 5 | $5,967 |
| Cerapedics Inc. | 3 | $4,173 |
| Carlsmed, Inc. | 6 | $486 |
| Life Spine, Inc. | 4 | $395 |
| Orthofix Medical, Inc. | 3 | $373 |
| Johnson & Johnson | 1 | $22 |
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.
- MAZOR X SYSTEM$62,459
- Monolith$27,566
- O-ARM-ST$18,578
- STEALTHSTATION S8 PLATFORM$16,252
- AttraX$15,374
- MazorX - Renaissance$14,300
- INFUSE BONE GRAFT$13,669
- nanoLOCK-C$12,555
- Mazor X Stealth Edition$11,114
- StealthStation$10,900
- PIVOX Oblique Lateral Spinal System$6,724
- CD HORIZON SPINAL SYSTEM$5,770
- CLYDESDALE PTC SPINAL SYSTEM$5,720
- TRITANIUM$5,671
- CASCADIA$5,500
- GRAFTONAND GRAFTON PLUSDEMINERALIZED BONE MATRIX (DBM)$4,816
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$4,090
- XLIF$2,753
- ENDOSKELETON TL NANOLOCK SURFACE TECHNOLOGY$1,625
- TLIF$1,500
How this compares
$303,380 in reported general payments places this provider in the 95th percentile of 473 orthopaedic surgery providers in Virginia.
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.
Other orthopaedic surgery in Charlottesville
- Cato LaurencinCharlottesville$3.5M
- William MihalkoCharlottesville$2M
- Stephen GuntherCharlottesville$545K
- Charles SuCharlottesville$47K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
- Mark de BloisNorth Chesterfield$4M
- Randall PeytonSterling$2.9M
- David MillerNorth Chesterfield$1.7M
- Keith LawhornFairfax$1.6M
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.