Hilary Nosker, DPM
Podiatrist · Winchester, VANPI 1326336256
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 75 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Smith+Nephew accounts for 83.5% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $669 and has fallen 65.1% since, to $234 in 2024.
Across 75 payments — averaging $29.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Osiris Therapeutics Inc.$148
- Abbott$108
- Integra Lifesciences Corporation$92
- Hartmann USA, Inc.$16
What the payments were for
- Food & beverage$2,215100%
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 |
|---|---|---|
| Smith+Nephew | 70 | $1,851 |
| Osiris Therapeutics Inc. | 2 | $148 |
| Abbott | 1 | $108 |
| Integra Lifesciences Corporation | 1 | $92 |
| Hartmann USA, Inc. | 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.
- Stravix$355
- GRAFIX PL$226
- Grafix$140
- Oasis$113
- Axium INS DRG IPG$108
How this compares
$2,215 in reported general payments places this provider in the 65th percentile of 126 podiatrist 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 |
|---|---|---|
| Ketoconazole | 12 | $339 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Winchester
- Dylan HemstedWinchester$5K
- James ArnoldWinchester$4K
- John ClementsRoanoke$925K
- Leland GilmoreAlexandria$155K
- Justin PhillinganePetersburg$82K
- Jeremy WaltersSuffolk$60K
- Matthew HopsonWilliamsburg$44K
- Benjamin ProtoNewport News$26K
- Kevin RabieVirginia Beach$18K
- Nelson KellerGrafton$17K
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.