Elvis Xhaferi, MD
Adult Reconstructive Orthopaedic Surgery · Fredericksburg, VANPI 1275850430
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.7%), travel and lodging and education — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Zimmer Biomet at 40.7% of the total. Reporting peaked in 2022 at $1,112 and has fallen 98.2% since, to $21 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in VA, where the typical reported total is $8,085.
Across 42 payments — averaging $68.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$1K
- Stryker$879
- Johnson & Johnson$631
- Endo Pharmaceuticals Inc.$51
- Medtronic$30
- Linvatec Corporation$29
- plus $88 from 4 others
What the payments were for
- Travel & lodging$1,37548%
- Food & beverage$1,40249%
- Education$1024%
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 |
|---|---|---|
| Zimmer Biomet | 9 | $1,170 |
| Stryker | 13 | $879 |
| Johnson & Johnson | 9 | $631 |
| Endo Pharmaceuticals Inc. | 3 | $51 |
| Medtronic(2 entities) | 2 | $30 |
| Linvatec Corporation | 1 | $29 |
| Zyla Life Sciences, Inc. | 2 | $26 |
| ERMI LLC | 1 | $26 |
| Vertex | 1 | $21 |
| Amgen | 1 | $16 |
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.
How this compares
$2,879 in reported general payments places this provider in the 30th percentile of 58 adult reconstructive orthopaedic surgery providers in Virginia.
See all adult reconstructive orthopaedic 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 |
|---|---|---|
| Diclofenac Sodium | 183 | $2,454 |
| Methylprednisolone | 85 | $506 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 41 | $307 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 23 | $148 |
| Ibuprofen | 11 | $126 |
| Cephalexin | 12 | $112 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $106 |
| Cyclobenzaprine Hcl | 39 | $94 |
| Gabapentin | 33 | $94 |
| Oxycodone Hcl | 22 | $87 |
| Meloxicam | 16 | $43 |
| Tramadol Hcl | 18 | $34 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Fredericksburg
- Brian McDermottFredericksburg$6K
- Nitin GoyalArlington$81.5M
- William HamiltonAlexandria$9.3M
- Charles EnghArlington$5.5M
- James BrowneCharlottesville$4.8M
- Kevin FrickaAlexandria$773K
- Anthony CarterNewport News$521K
- John CardeaRichmond$141K
- Andrew NeviaserMc Lean$136K
- Robert SershonArlington$94K
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.