Fiesky Nunez, MD
Hand Surgery · Greenville, SCNPI 1770840928
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (40.9%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Sonex Health, Inc. at 38.5% of the total. Reporting peaked in 2019 at $2,462 and has fallen 53.8% since, to $1,138 in 2025.
Across 86 payments — averaging $92.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Sonex Health, Inc.$3K
- Axogen$2K
- Peerless Surgical Inc.$1K
- Encore Medical, LP$613
- Smith+Nephew$292
- Skeletal Dynamics Inc$252
- plus $489 from 8 others
What the payments were for
- Consulting fees$2,18828%
- Travel & lodging$2,49731%
- Food & beverage$3,24341%
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 |
|---|---|---|
| Sonex Health, Inc. | 29 | $3,053 |
| Axogen | 19 | $1,903 |
| Peerless Surgical Inc. | 5 | $1,324 |
| Encore Medical, LP | 2 | $613 |
| Smith+Nephew | 5 | $292 |
| Skeletal Dynamics Inc | 3 | $252 |
| Endo Pharmaceuticals Inc. | 11 | $190 |
| Akcea Therapeutics, Inc. | 1 | $84 |
| Checkpoint Surgical, Inc | 1 | $81 |
| Amgen | 3 | $41 |
| Fidia Pharma USA Inc. | 2 | $29 |
| AbbVie | 2 | $28 |
| Johnson & Johnson(2 entities) | 2 | $23 |
| Organogenesis 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.
- Sx-One Microknife$1,658
- AxoGuard Nerve Protector$1,297
- AxoGuard Nerve Connector$1,297
- ULTRAGUIDECTR$1,056
- ULTRAGUIDETFR$1,056
- DJO Surgical AltiVate Reverse$576
- AVANCE NERVE GRAFT$335
- Geminus$228
- Align$228
- IJS$228
- Implate$228
- TRIGEN Femoral (FAN/TAN/Meta Nail)$143
- TRIGEN InterTAN$143
- EVOS$143
How this compares
$7,927 in reported general payments places this provider in the 75th percentile of 47 hand surgery providers in South 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 | 188 | $432 |
| Methylprednisolone | 68 | $369 |
| Celecoxib | 24 | $291 |
| Colchicine | 11 | $253 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Greenville
- Shea RayGreenville$13K
- Michael PalmerGreenville$7K
- Andrew CrossGreenville$7K
- Mark MoodyGreenville$7K
- Timothy BrownGreenville$6K
- Gregory FaucherGreenville$6K
- John SandersGreenville$4K
- Seraphin MillonGreenville$1K
- Timothy DewGreenville$1K
- Walter BatsonGreenville$112
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.