Daniel Dean, MD
Orthopaedic Surgery · Fishersville, VANPI 1538363379
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (45.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Arthrex at 55.1% of the total. Reporting peaked in 2021 at $1,702 and has fallen 95.7% since, to $72 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in VA, where the typical reported total is $3,465.
Across 14 payments — averaging $189.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$1K
- FX Shoulder Solutions, Inc$615
- Fortis Surgical, LLC$362
- Johnson & Johnson$124
- AstraZeneca$46
- Collegium Pharmaceutical, Inc.$26
- plus $19 from 1 others
What the payments were for
- Travel & lodging$44817%
- Food & beverage$1,00738%
- Education$1,20045%
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 |
|---|---|---|
| Arthrex | 4 | $1,463 |
| FX Shoulder Solutions, Inc | 1 | $615 |
| Fortis Surgical, LLC | 3 | $362 |
| Johnson & Johnson(2 entities) | 2 | $124 |
| AstraZeneca | 2 | $46 |
| Collegium Pharmaceutical, Inc. | 1 | $26 |
| Fidia Pharma USA Inc. | 1 | $19 |
How this compares
$2,655 in reported general payments places this provider in the 45th percentile of 473 orthopaedic 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 |
|---|---|---|
| Diclofenac Sodium | 109 | $1,966 |
| Oxycodone Hcl | 83 | $307 |
| Celecoxib | 19 | $181 |
| Prednisone | 15 | $122 |
| Tramadol Hcl | 33 | $93 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $68 |
| Amoxicillin | 22 | $29 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fishersville
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
- Mark de BloisNorth Chesterfield$4M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2M
- David MillerNorth Chesterfield$1.7M
- Keith LawhornFairfax$1.6M
- Joseph GonduskyVirginia Beach$1.2M
- Joshua HerzogNorth Chesterfield$1M
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.