Brett Sanders, MD
Hand Surgery · Chattanooga, TNNPI 1427048073
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $40,137 of the $54,986 with a category attached, or 73.0%. Encore Medical, LP accounts for 66.0% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2022 at $13,169 and has fallen 83.8% since, to $2,135 in 2025. Among hand surgery clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 120 payments — averaging $458.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Encore Medical, LP$36K
- Stryker$6K
- Alpha Orthopedic Systems$5K
- Arthrex$2K
- Maruho Medical, Inc.$2K
- Catalyst Orthoscience$2K
- plus $3K from 10 others
What the payments were for
- Consulting fees$40,13773%
- Travel & lodging$4,9109%
- Food & beverage$4,7949%
- Education$5,1459%
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 |
|---|---|---|
| Encore Medical, LP | 40 | $36,270 |
| Stryker | 25 | $5,960 |
| Alpha Orthopedic Systems | 9 | $4,793 |
| Arthrex | 8 | $1,699 |
| Maruho Medical, Inc. | 2 | $1,605 |
| Catalyst Orthoscience | 12 | $1,593 |
| Teleflex LLC | 6 | $1,166 |
| Shoulder Innovations, Inc. | 4 | $990 |
| Innovation Technologies Inc | 2 | $288 |
| Anika Therapeutics, Inc. | 3 | $151 |
| Exactech, Inc. | 1 | $107 |
| Smith+Nephew | 4 | $95 |
| Portola Pharmaceuticals, LLC | 1 | $85 |
| Biedermann Motech, Inc. | 1 | $80 |
| Zimmer Biomet | 1 | $60 |
| Medartis Inc. | 1 | $43 |
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.
- DJO SURGICAL$27,370
- DJO Surgical AltiVate Reverse$19,305
- DJO Surgical AltiVate Anatomic System$18,953
- OMEGA$2,800
- Accessories$1,605
- Suture Anchors$1,500
- Catalyst Total CSR$1,029
- InSet System$946
- INSPACE$722
- REUNION$522
- NA$417
- MAKO$381
- Irrisept$288
- DJO Surgical Discovery Elbow System$248
- CSR & R1 Reverse Total Shoulder Systems$168
- R1 Reverse Total Shoulder$168
- Archer 3D Software$168
- HIP ARTHROSCOPY ACCESS & INSTRUMENTATION SET$150
- 1688$134
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$122
How this compares
$54,986 in reported general payments places this provider in the 90th percentile of 60 hand surgery providers in Tennessee.
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 |
|---|---|---|
| EliquisApixaban | 22 | $7,611 |
| Naloxone Hcl | 87 | $5,961 |
| Ondansetron OdtOndansetron | 184 | $1,397 |
| Minocycline Hcl | 57 | $799 |
| Oxycodone Hcl | 217 | $754 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 80 | $446 |
| Gabapentin | 40 | $326 |
| Ketorolac Tromethamine | 36 | $251 |
| Methylprednisolone | 39 | $244 |
| Promethazine Hcl | 33 | $107 |
| Amoxicillin | 16 | $51 |
| Tramadol Hcl | 25 | $30 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Chattanooga
- David JemisonChattanooga$7K
- Donald LeeNashville$546K
- Mihir DesaiNashville$110K
- Gleb MedvedevNashville$60K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Paul GormanJohnson City$24K
- Jane SiegelNashville$22K
- Daniel BranhamOak Ridge$19K
- Heather TaillacCookeville$17K
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.