Christopher Tuohy, MD
Hand Surgery · Winston Salem, NCNPI 1578574042
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,587 of the $5,141 with a category attached, or 89.2%. 20 manufacturers reported payments, led by Axogen at 25.0% of the total. 2025 is the largest year on record at $1,614, 3.1 times the $517 reported in 2019.
Across 57 payments — averaging $90.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$1K
- Piedmont Plus Innovation$721
- Endo Pharmaceuticals Inc.$493
- Skeletal Dynamics Inc$350
- Osteocentric Technologies, Inc.$324
- Johnson & Johnson$282
- plus $2K from 14 others
What the payments were for
- Travel & lodging$55511%
- Food & beverage$4,58789%
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 |
|---|---|---|
| Axogen | 13 | $1,284 |
| Piedmont Plus Innovation | 4 | $721 |
| Endo Pharmaceuticals Inc. | 4 | $493 |
| Skeletal Dynamics Inc | 5 | $350 |
| Osteocentric Technologies, Inc. | 3 | $324 |
| Johnson & Johnson | 5 | $282 |
| Medartis Inc. | 2 | $200 |
| Zimmer Biomet | 3 | $192 |
| Acumed LLC | 2 | $190 |
| Integra Lifesciences Corporation | 2 | $157 |
| Trice Medical, Inc. | 2 | $150 |
| Shoulder Innovations, Inc. | 4 | $147 |
| Onkos Surgical, Inc. | 1 | $147 |
| Endo USA, Inc. | 1 | $125 |
| Checkpoint Surgical, Inc | 1 | $81 |
| Smith+Nephew | 1 | $77 |
| Encore Medical, LP | 1 | $70 |
| Biocomposites Inc | 1 | $66 |
| Stryker | 1 | $63 |
| Arthrex | 1 | $24 |
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$724
- XIAFLEX$618
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$324
- Vivigen MIS Delivery System$241
- ELEOS LIMB SALVAGE SYSTEM$147
- AxoGuard Nerve Connector$138
- AxoGuard Nerve Protector$138
- AXOGUARD HA+ NERVE PROTECTOR$138
- AxoGuard Nerve Cap$138
- ACUMED$130
- Geminus$126
- Align$126
- IJS$126
- Implate$126
- FIBERGRAFT BG Morsels$120
- FIBERGRAFT Aeridyan Matrix$120
- APTUS$105
- FREEDOM WRIST$103
- PYRO MCP$103
- TSSM - TOTAL SHOULDER SYSTEM METAL$103
How this compares
$5,141 in reported general payments places this provider in the 60th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $90 |
| Celecoxib | 13 | $28 |
| Amoxicillin | 18 | $22 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Winston Salem
- Zhongyu LiWinston Salem$29K
- Alexander ChiaramontiWinston Salem$16K
- Derek BernsteinWinston Salem$13K
- Benjamin GravesWinston Salem$9K
- 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.