Derek Smith, MD
Surgery of the Hand · Flagstaff, AZNPI 1346582525
Payments from drug & device makers
What this record shows
This record is dominated by education: $2,128 of the $2,575 with a category attached, or 82.6%. 9 manufacturers reported payments, led by Steelhead Surgical Inc at 46.6% of the total. Reporting peaked in 2021 at $1,216 and has fallen 89.2% since, to $132 in 2022.
Across 13 payments — averaging $198.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Steelhead Surgical Inc$1K
- CDC Medical LLC$928
- Johnson & Johnson$237
- Axogen$98
- Ferring Pharmaceuticals Inc.$48
- Abbott$22
- plus $43 from 3 others
What the payments were for
- Food & beverage$44717%
- Education$2,12883%
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 |
|---|---|---|
| Steelhead Surgical Inc | 1 | $1,200 |
| CDC Medical LLC | 1 | $928 |
| Johnson & Johnson | 3 | $237 |
| Axogen | 1 | $98 |
| Ferring Pharmaceuticals Inc. | 3 | $48 |
| Abbott | 1 | $22 |
| Amgen | 1 | $19 |
| Si-bone, Inc. | 1 | $12 |
| Nevro Corp. | 1 | $12 |
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.
- IM NAILS$112
- VA-LCP PLATES & SCREWS$112
- PEDIATRICS$112
How this compares
Too few surgery of the hand providers in Arizonato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Cephalexin | 13 | $35 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $31 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Flagstaff
- Lloyd ChampagnePhoenix$76K
- Jozef ZoldosPhoenix$37K
- Sharon StanleyTucson$16K
- Ryan EubanksMesa$11K
- Edward ReeceScottsdale$6K
- Joshua KelleyChandler$5K
- Jonathan YangPhoenix$5K
- Allen LiuPhoenix$3K
- Robert ReitzPhoenix$3K
- Brent SchultzPhoenix$2K
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.