Anil Duggal, MD
Surgery of the Hand · Pikeville, KYNPI 1578879300
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,862 of the $3,062 with a category attached, or 60.8%. 21 manufacturers reported payments, led by Legacy Ortho LLC at 39.2% of the total. Reporting peaked in 2022 at $1,429 and has fallen 91.7% since, to $119 in 2025.
Across 41 payments — averaging $74.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Legacy Ortho LLC$1K
- Axogen$620
- Integra Lifesciences Corporation$348
- Aptis Medical, LLC$207
- Atricure, Inc.$135
- Mentor Worldwide LLC$77
- plus $476 from 15 others
Across 4 payments — averaging $3351.01 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.
- Axogen$13K
What the payments were for
- Food & beverage$1,86261%
- Education$1,20039%
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 |
|---|---|---|
| Legacy Ortho LLC | 1 | $1,200 |
| Axogen | 2 | $620 |
| Integra Lifesciences Corporation | 15 | $348 |
| Aptis Medical, LLC | 1 | $207 |
| Atricure, Inc. | 3 | $135 |
| Mentor Worldwide LLC | 2 | $77 |
| Corcym Inc | 1 | $70 |
| Treace Medical Concepts, Inc. | 1 | $59 |
| Teleflex LLC | 1 | $55 |
| Baxter Healthcare | 1 | $41 |
| Orthofix Medical, Inc. | 1 | $40 |
| Checkpoint Surgical, Inc | 1 | $33 |
| Polynovo North America LLC | 2 | $28 |
| Endo Pharmaceuticals Inc. | 2 | $27 |
| Globus Medical | 1 | $24 |
| Bard Peripheral Vascular, Inc. | 1 | $18 |
| Davol Inc. | 1 | $18 |
| Organogenesis Inc. | 1 | $18 |
| Pacira Pharmaceuticals Incorporated | 1 | $16 |
| KCI USA, Inc. | 1 | $15 |
| Heron Therapeutics, Inc. | 1 | $15 |
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$587
- Aptis DRUJ$207
How this compares
$3,062 in reported general payments places this provider in the 60th percentile of 36 surgery of the hand providers in Kentucky.
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 surgery of the hand in Pikeville
- Devesh SharmaPikeville$236
- Luis SchekerLouisville$5.8M
- Michael NicosonLouisville$18K
- Claudiu MuresanLouisville$11K
- Wai Jing Geraldine KongLouisville$10K
- Huey Yuan TienLouisville$8K
- Israel TorresLouisville$5K
- Mohammed ElnoorLouisville$5K
- Kao FangLouisville$5K
- Misbah Al HanbaliLouisville$4K
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.