Daniel Fletcher
Hand Surgery · Hamilton, NJNPI 1558339564
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 56 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Stryker accounts for 70.7% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $1,080, 3.2 times the $334 reported in 2019. That places this record below the midpoint for hand surgery clinicians in NJ, where the typical reported total is $3,086.
Across 56 payments — averaging $55.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Skeletal Dynamics Inc$415
- Johnson & Johnson$307
- Seapearl East, Inc$68
- Fidia Pharma USA Inc.$24
- Bioventus LLC$23
- plus $67 from 4 others
What the payments were for
- Food & beverage$3,086100%
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 |
|---|---|---|
| Stryker | 34 | $2,181 |
| Skeletal Dynamics Inc | 5 | $415 |
| Johnson & Johnson | 9 | $307 |
| Seapearl East, Inc | 2 | $68 |
| Fidia Pharma USA Inc. | 1 | $24 |
| Bioventus LLC | 1 | $23 |
| BD | 1 | $22 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Ferring Pharmaceuticals Inc. | 1 | $16 |
| Molnlycke Health Care US, LLC | 1 | $13 |
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.
How this compares
$3,086 in reported general payments places this provider in the 50th percentile of 87 hand surgery providers in New Jersey.
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 |
|---|---|---|
| Methylprednisolone | 60 | $282 |
| Cephalexin | 20 | $63 |
| Gabapentin | 32 | $51 |
| Tramadol Hcl | 26 | $26 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Hamilton
- Charles LeinberryEgg Harbor Twp$3.1M
- John CapoJersey City$1.1M
- Virak TanNewark$711K
- Gary PessEatontown$212K
- Mark RekantCherry Hill$209K
- Teddy AtikEatontown$37K
- Bishoy SaadJersey City$33K
- Genghis NiverFlorham Park$27K
- Michael VosbikianNewark$26K
- Linda ChaoCape May Court House$19K
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.