Drew Kiernan, MD
Hand Surgery · Lynchburg, VANPI 1962437954
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $13,175 of the $15,468 with a category attached, or 85.2%. Microaire Surgical Instruments LLC accounts for 99.1% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2019 at $9,129 and has fallen 98.5% since, to $138 in 2025. Among hand surgery clinicians in VA 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 9 payments — averaging $1718.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Microaire Surgical Instruments LLC$15K
- Johnson & Johnson$138
What the payments were for
- Consulting fees$13,17585%
- Speaking & faculty fees$1,90012%
- Travel & lodging$2542%
- Food & beverage$1381%
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 |
|---|---|---|
| Microaire Surgical Instruments LLC | 8 | $15,329 |
| Johnson & Johnson | 1 | $138 |
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.
- SMART RELEASE$6,200
- NA$138
- VA-LCP$138
How this compares
$15,468 in reported general payments places this provider in the 90th percentile of 81 hand surgery providers in Virginia.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 84 | $511 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 18 | $106 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Lynchburg
- Ian SmithsonLynchburg$5K
- Lance DavlinNorfolk$165K
- Chad MankeVa Beach$104K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Kacy PeekCharlottesville$31K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
- Jeffrey LovalloArlington$16K
- Giacomo CappelletiNorfolk$15K
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.