Charles Hyre, MD
Surgery · Winchester, VANPI 1811964406
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (28.5%), education and consulting fees — rather than concentrated in one kind of arrangement. 25 manufacturers reported payments, led by Intuitive Surgical at 37.8% of the total. Reporting peaked in 2022 at $10,595 and has fallen 78.1% since, to $2,316 in 2025. Among 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 150 payments — averaging $179.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$10K
- Osiris Therapeutics Inc.$4K
- Smith+Nephew$3K
- Takeda Pharmaceuticals U.S.A., Inc.$3K
- Davol Inc.$3K
- Medical Device Business Services, Inc.$1K
- plus $2K from 19 others
What the payments were for
- Consulting fees$6,50724%
- Travel & lodging$7,68829%
- Food & beverage$5,51720%
- Education$7,00026%
- Other$2451%
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 |
|---|---|---|
| Intuitive Surgical | 24 | $10,199 |
| Osiris Therapeutics Inc. | 5 | $3,683 |
| Smith+Nephew | 46 | $3,461 |
| Takeda Pharmaceuticals U.S.A., Inc. | 6 | $3,176 |
| Davol Inc. | 17 | $3,033 |
| Medical Device Business Services, Inc. | 8 | $1,376 |
| Kerecis Limited | 14 | $585 |
| Stryker | 3 | $501 |
| Integra Lifesciences Corporation | 8 | $417 |
| Hydrofera LLC | 2 | $79 |
| Conmed Corporation | 1 | $67 |
| Organogenesis Inc. | 2 | $52 |
| Innovation Technologies Inc | 1 | $45 |
| TELA Bio, Inc. | 1 | $41 |
| Solventum Corporation | 1 | $35 |
| Shire North American Group Inc | 2 | $30 |
| Lemaitre Vascular, Inc. | 1 | $29 |
| Laminate Medical Technologies Inc. | 1 | $26 |
| Avita Medical Americas, LLC | 1 | $26 |
| AbbVie | 1 | $19 |
| Bioventus LLC | 1 | $19 |
| W. L. Gore & Associates, Inc. | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $15 |
| Teleflex LLC | 1 | $14 |
| Mallinckrodt Enterprises LLC | 1 | $14 |
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.
- DAVINCI XI$7,000
- Stravix$4,252
- Grafix$4,198
- GrafixPL$3,759
- GATTEX$3,107
- Da Vinci Surgical System$2,298
- PHASIX$1,394
- ECHELON FLEX Stapler$1,213
- ACTICOAT 4" X 4"$933
- Allevyn Gentle Border 10 x 10cm Ctn 10$933
- Oasis$933
- PICO$933
- Versajet$933
- Kerecis Omega3 Marigen$545
- SPY-PHI SYSTEM$478
- DA VINCI SP$454
- GRAFIX PL$377
- MICROMATRIX$245
- STRAVIX PL$144
- Kerecis Omega3 SurgiClose$136
How this compares
$26,957 in reported general payments places this provider in the 95th percentile of 675 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 |
|---|---|---|
| Lubiprostone | 12 | $795 |
| Sucralfate | 30 | $768 |
| Pantoprazole Sodium | 35 | $614 |
| Dicyclomine Hcl | 21 | $573 |
| Oxycodone Hcl | 197 | $475 |
| Lactulose | 17 | $291 |
| Diphenoxylate-AtropineDiphenoxylate Hcl/Atropine | 11 | $276 |
| Metoclopramide Hcl | 22 | $257 |
| Famotidine | 16 | $214 |
| Doxycycline Hyclate | 14 | $198 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $138 |
| Ondansetron Hcl | 18 | $75 |
| Metronidazole | 17 | $70 |
| Neomycin Sulfate | 13 | $66 |
| Tramadol Hcl | 22 | $43 |
Paid to pharmacies, not to this prescriber.
Other surgery in Winchester
- Shashank SharmaWinchester$17K
- Raymond MakhoulRichmond$1.5M
- Zobair YounossiFalls Church$1.2M
- Yassar YoussefNorfolk$1M
- David WeintrittAlexandria$555K
- Hazem ElarinyVienna$368K
- George GillianLorton$214K
- Joseph GreeneReston$187K
- Lamiere DowningChristiansburg$175K
- Amanda CoxSalem$142K
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.