Has Daniel Fletcher, MD received payments from drug or device companies?

Yes. Drug and device makers reported $2,185 in general payments to Daniel Fletcher, MD across 7 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Daniel Fletcher, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Daniel Fletcher, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Daniel Fletcher, MD

Hand Surgery · Memphis, TNNPI 1063638104

Payments from drug & device makers

What this record shows

This record is dominated by education: $1,854 of the $2,185 with a category attached, or 84.8%. Gentleman Orthopedic Solutions accounts for 84.8% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2022 at $1,200 and has fallen 92.4% since, to $92 in 2025. That places this record below the midpoint for hand surgery clinicians in TN, where the typical reported total is $3,914.

$2,185in general payments, 2019–2025

Across 7 payments — averaging $312.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Gentleman Orthopedic Solutions$2K
Skeletal Dynamics Inc$209
DJO, LLC$104
Axogen$18

What the payments were for

Food & beverage$33115%
Education$1,85485%

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
Gentleman Orthopedic Solutions	2	$1,854
Skeletal Dynamics Inc	2	$209
DJO, LLC	2	$104
Axogen	1	$18

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.

Geminus$118
Align$118
IJS$118
Implate$118

How this compares

$2,185 in reported general payments places this provider in the 35th percentile of 60 hand surgery providers in Tennessee.

See all hand surgery providers in Tennessee →

Medicare billing

Part B allowed, 2024

$308,653

Medicare patients

736

Services billed

4,195

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	218	$1,280
Diclofenac Sodium	72	$564
Oxycodone Hcl	170	$345
Gabapentin	63	$335
Minocycline Hcl	39	$331
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen	14	$78
Meloxicam	13	$18
Tramadol Hcl	13	$14

Paid to pharmacies, not to this prescriber.

Other hand surgery in Memphis

Peter HenningMemphis$5K
Robert ColeMemphis$4K
John WilliamsMemphis$869
Donald LeeNashville$546K
Mihir DesaiNashville$110K
Gleb MedvedevNashville$60K
Brett SandersChattanooga$55K
Todd RubinNashville$39K
Jed MaslowNashville$29K
Paul GormanJohnson City$24K

See the full list for Tennessee →

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.

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