Derek Bernstein, MD
Hand Surgery · Winston Salem, NCNPI 1538504030
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (47.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Arthrex at 35.0% of the total. Reporting peaked in 2019 at $9,681 and has fallen 97.6% since, to $231 in 2025.
Across 59 payments — averaging $226.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Trimed, Inc.$3K
- Liberty Surgical Inc.$2K
- Southtech Orthopedics$1K
- Stryker$922
- Axogen$307
- plus $1K from 10 others
What the payments were for
- Travel & lodging$2,89522%
- Food & beverage$3,98730%
- Education$6,41248%
- Gifts$941%
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 | 17 | $4,685 |
| Trimed, Inc. | 11 | $3,261 |
| Liberty Surgical Inc. | 1 | $1,749 |
| Southtech Orthopedics | 1 | $1,065 |
| Stryker(2 entities) | 4 | $922 |
| Axogen | 7 | $307 |
| Integra Lifesciences Corporation | 4 | $296 |
| Acumed LLC | 5 | $278 |
| Arthrosurface Incorporated | 1 | $181 |
| Linvatec Corporation | 1 | $118 |
| Zimmer Biomet | 1 | $117 |
| Henry Schein, Inc. | 1 | $113 |
| Johnson & Johnson | 1 | $110 |
| Medartis Inc. | 2 | $108 |
| Checkpoint Surgical, Inc | 1 | $66 |
| Endo Pharmaceuticals Inc. | 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.
- Ascend Flex$644
- HemiCAP Wrist$181
- Elbow Plating System$136
- Anatomic Radial Head System$136
- Acutrak Headless Compression Screw System$136
- Tools - AFS$123
- LINVATEC EXTREMITIES$118
- COMPREHENSIVE$117
- NEURAGEN$114
- TENOGLIDE$114
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$110
- FREEDOM WRIST$109
- PYRO MCP$109
- TSSM - TOTAL SHOULDER SYSTEM METAL$109
- TITAN-SHOULDER$109
- External Fixation System$109
How this compares
$13,388 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Ondansetron Hcl | 617 | $4,604 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 485 | $2,257 |
| Cephalexin | 504 | $1,977 |
| Clindamycin Hcl | 122 | $424 |
| Tramadol Hcl | 28 | $59 |
| Meloxicam | 21 | $44 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Winston Salem
- Zhongyu LiWinston Salem$29K
- Alexander ChiaramontiWinston Salem$16K
- Benjamin GravesWinston Salem$9K
- Christopher TuohyWinston Salem$5K
- 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.