Carl Weiss, MD
Hand Surgery · Mechanicsville, VANPI 1184627820
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,247 of the $3,317 with a category attached, or 67.7%. 27 manufacturers reported payments, led by Fortis Surgical, LLC at 33.3% of the total. Reporting peaked in 2019 at $1,395 and has fallen 66.8% since, to $463 in 2025. That places this record below the midpoint for hand surgery clinicians in VA, where the typical reported total is $3,008.
Across 68 payments — averaging $48.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fortis Surgical, LLC$1K
- Organogenesis Inc.$641
- Tactile Systems Technology Inc$217
- Smith+Nephew$191
- Arthrex$150
- Kerecis Limited$131
- plus $883 from 21 others
What the payments were for
- Food & beverage$2,24768%
- Education$1,07032%
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 |
|---|---|---|
| Fortis Surgical, LLC | 3 | $1,103 |
| Organogenesis Inc. | 19 | $641 |
| Tactile Systems Technology Inc | 3 | $217 |
| Smith+Nephew | 8 | $191 |
| Arthrex | 1 | $150 |
| Kerecis Limited | 5 | $131 |
| Lifenet Health | 1 | $114 |
| Axogen | 2 | $114 |
| Johnson & Johnson | 4 | $107 |
| AbbVie(2 entities) | 2 | $95 |
| Bsn Medical Inc | 1 | $86 |
| Mimedx Group, Inc. | 2 | $36 |
| Skeletal Dynamics Inc | 1 | $35 |
| Next Science LLC | 1 | $34 |
| Integra Lifesciences Corporation | 2 | $33 |
| Solventum Corporation | 1 | $29 |
| Pacira Therapeutics, Inc. | 2 | $27 |
| Heron Therapeutics, Inc. | 1 | $24 |
| Innovation Technologies Inc | 1 | $23 |
| Checkpoint Surgical, Inc | 1 | $22 |
| Misonix Inc | 1 | $18 |
| TEI Medical Inc. | 1 | $17 |
| Osiris Therapeutics Inc. | 1 | $17 |
| Baxter Healthcare | 1 | $16 |
| KCI USA, Inc. | 1 | $13 |
| Endo Pharmaceuticals Inc. | 1 | $13 |
| Linvatec Corporation | 1 | $12 |
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.
- PuraPly$399
- NOVACHOR$131
- Affinity$131
- Flexitouch Plus$128
- Nimbl$128
- TheraGenesis Wound Matrix$114
How this compares
$3,317 in reported general payments places this provider in the 50th percentile of 81 hand 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Doxycycline Hyclate | 36 | $285 |
| Methylprednisolone | 18 | $107 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $86 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Mechanicsville
- David CannonMechanicsville$3K
- Lance DavlinNorfolk$165K
- Chad MankeVa Beach$104K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Kacy PeekCharlottesville$31K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
- Jeffrey LovalloArlington$16K
- Drew KiernanLynchburg$15K
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.