David Vanchure, PA
Surgical · du Bois, PANPI 1154307569
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.3%), education and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Arthrex at 40.7% of the total. Reporting peaked in 2021 at $2,195 and has fallen 75.8% since, to $532 in 2025. Among surgical clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 84 payments — averaging $46.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Stryker$796
- Mid-atlantic Surgical Systems, LLC$540
- Smith+Nephew$356
- Cumberland Pharmaceuticals, Inc.$161
- Pacira Pharmaceuticals Incorporated$88
- plus $362 from 10 others
What the payments were for
- Travel & lodging$80721%
- Food & beverage$1,87948%
- Education$1,20031%
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 | 8 | $1,583 |
| Stryker | 30 | $796 |
| Mid-atlantic Surgical Systems, LLC | 2 | $540 |
| Smith+Nephew | 16 | $356 |
| Cumberland Pharmaceuticals, Inc. | 6 | $161 |
| Pacira Pharmaceuticals Incorporated | 4 | $88 |
| Novo Nordisk | 4 | $83 |
| Vertex | 3 | $63 |
| Ferring Pharmaceuticals Inc. | 3 | $51 |
| Johnson & Johnson(2 entities) | 2 | $49 |
| BD | 1 | $37 |
| Acera Surgical, Inc. | 1 | $21 |
| Solventum Corporation | 1 | $17 |
| KCI USA, Inc. | 1 | $16 |
| Pacira Therapeutics, Inc. | 1 | $16 |
| Orthofix Medical, Inc. | 1 | $9 |
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.
- MAKO$171
How this compares
$3,886 in reported general payments places this provider in the 90th percentile of 626 surgical providers in Pennsylvania.
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 |
|---|---|---|
| Clindamycin Hcl | 20 | $89 |
| Amoxicillin | 54 | $71 |
| Meloxicam | 14 | $62 |
| Tramadol Hcl | 30 | $55 |
| Oxycodone Hcl | 22 | $53 |
Paid to pharmacies, not to this prescriber.
Other surgical in du Bois
- Renee Kruggerdu Bois$4K
- Vanessa Bairdu Bois$3K
- Patsy SkablaWynnewood$188K
- Kyle LangstonAllentown$50K
- Aaron MacoskeyPittsburgh$40K
- Elissa CastorPittsburgh$25K
- Amanda YakobitisWynnewood$24K
- Dustin HobbsWilkes Barre$15K
- Leah KovalPittsburgh$13K
- Maureen SchullerLancaster$12K
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.