Ethan Wiesler, MD
Hand Surgery · Winston Salem, NCNPI 1538146147
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 44 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Axogen at 32.6% of the total. Reporting peaked in 2022 at $1,043 and has fallen 59.7% since, to $420 in 2025.
Across 44 payments — averaging $93.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$1K
- Skeletal Dynamics Inc$425
- Stryker$354
- Endo Pharmaceuticals Inc.$305
- Smith+Nephew$221
- Medartis Inc.$215
- plus $1K from 12 others
What the payments were for
- Food & beverage$4,117100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Axogen | 13 | $1,343 |
| Skeletal Dynamics Inc | 5 | $425 |
| Stryker(2 entities) | 4 | $354 |
| Endo Pharmaceuticals Inc. | 3 | $305 |
| Smith+Nephew | 2 | $221 |
| Medartis Inc. | 3 | $215 |
| Integra Lifesciences Corporation | 2 | $157 |
| Onkos Surgical, Inc. | 1 | $147 |
| Orthofix Medical, Inc. | 2 | $136 |
| Trice Medical, Inc. | 1 | $133 |
| Trimed, Inc. | 1 | $132 |
| Osteocentric Technologies, Inc. | 1 | $108 |
| Johnson & Johnson | 1 | $87 |
| Checkpoint Surgical, Inc | 1 | $81 |
| Medtronic | 1 | $72 |
| Encore Medical, LP | 1 | $70 |
| Zimmer Biomet | 1 | $67 |
| Biocomposites Inc | 1 | $66 |
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.
- AVANCE NERVE GRAFT$925
- XIAFLEX$305
- Geminus$230
- Align$230
- IJS$230
- Implate$230
- AxoGuard Nerve Connector$173
- AxoGuard Nerve Protector$173
- AXOGUARD HA+ NERVE PROTECTOR$173
- AxoGuard Nerve Cap$173
- ELEOS LIMB SALVAGE SYSTEM$147
- EVOS$144
- MAVERICK$144
- Tools - AFS$132
- VARIAX$120
- OsteoCentric 4.0 x 130mm LOCKING BONE SCREW FASTENER ST$108
- APTUS$105
- FREEDOM WRIST$103
- PYRO MCP$103
- TSSM - TOTAL SHOULDER SYSTEM METAL$103
How this compares
$4,117 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| Meloxicam | 11 | $71 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $55 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Winston Salem
- Zhongyu LiWinston Salem$29K
- Alexander ChiaramontiWinston Salem$16K
- Derek BernsteinWinston Salem$13K
- Benjamin GravesWinston Salem$9K
- Christopher TuohyWinston Salem$5K
- 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.