Alexander Chiaramonti, MD
Hand Surgery · Winston Salem, NCNPI 1891145207
Payments from drug & device makers
What this record shows
This record is dominated by grants: $10,000 of the $16,414 with a category attached, or 60.9%. Arthrex accounts for 72.8% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $14,348 and has fallen 97.7% since, to $330 in 2025.
Across 40 payments — averaging $410.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$12K
- Axogen$3K
- Peerless Surgical Inc.$392
- Johnson & Johnson$365
- Integra Lifesciences Corporation$206
- Piedmont Plus Innovation$154
- plus $798 from 11 others
What the payments were for
- Grants$10,00061%
- Travel & lodging$1,88711%
- Food & beverage$2,93618%
- Education$1,59210%
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 |
|---|---|---|
| Arthrex | 6 | $11,954 |
| Axogen | 13 | $2,546 |
| Peerless Surgical Inc. | 1 | $392 |
| Johnson & Johnson | 3 | $365 |
| Integra Lifesciences Corporation | 3 | $206 |
| Piedmont Plus Innovation | 2 | $154 |
| Smith+Nephew | 1 | $149 |
| Checkpoint Surgical, Inc | 1 | $129 |
| Medartis Inc. | 2 | $120 |
| TYBR Health, Inc. | 1 | $73 |
| Skeletal Dynamics Inc | 1 | $71 |
| Stryker | 1 | $63 |
| Orthofix Medical, Inc. | 1 | $63 |
| Paragon 28, Inc. | 1 | $53 |
| Endo Pharmaceuticals Inc. | 1 | $42 |
| Trice Medical, Inc. | 1 | $17 |
| Vericel Corporation | 1 | $17 |
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.
- AVANCE NERVE GRAFT$2,128
- HAMMERLOCK$244
- Vivigen MIS Delivery System$241
- GRAFIX PL$149
- Oasis$149
- Stravix$149
- Checkpoint Stimulators$129
- NA$125
- VA-LCP$125
- FIBERGRAFT BG Morsels$120
- FIBERGRAFT Aeridyan Matrix$120
- HEADLESS COMPRESSION SCREWS$119
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$119
- LCP PLATES & SCREWS$119
- APTUS$105
How this compares
$16,414 in reported general payments places this provider in the 80th percentile of 79 hand surgery 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 |
|---|---|---|
| Oxycodone Hcl | 23 | $97 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 18 | $78 |
| Meloxicam | 15 | $40 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Winston Salem
- Zhongyu LiWinston Salem$29K
- Derek BernsteinWinston Salem$13K
- Benjamin GravesWinston Salem$9K
- Christopher TuohyWinston Salem$5K
- Ethan WieslerWinston Salem$4K
- Christpher KliftoDurham$575K
- Raymond GastonCharlotte$505K
- Ryan GarciaCharlotte$381K
- Richard MooreWilmington$177K
- Erica TaylorRaleigh$97K
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.