Ian Duensing, MD
Adult Reconstructive Orthopaedic Surgery · Charlottesville, VANPI 1417341314
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (54.8%), education and food and beverage — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Medical Device Business Services, Inc. at 36.5% of the total. 2025 is the largest year on record at $52,783, more than ten times the $300 reported in 2019.
Across 119 payments — averaging $693.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$30K
- Smith+Nephew$26K
- Johnson & Johnson$16K
- Depuy Synthes Products, Inc.$8K
- Zimmer Biomet$2K
- Stryker$517
- plus $299 from 2 others
Across 3 payments — averaging $12,197 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Zimmer Biomet$21K
- Si-bone, Inc.$16K
What the payments were for
- Consulting fees$45,22855%
- Travel & lodging$4,4675%
- Food & beverage$7,0669%
- Education$25,76631%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 37 | $30,085 |
| Smith+Nephew | 4 | $25,731 |
| Johnson & Johnson(2 entities) | 32 | $15,754 |
| Depuy Synthes Products, Inc. | 6 | $7,675 |
| Zimmer Biomet | 27 | $2,464 |
| Stryker | 10 | $517 |
| Encore Medical, LP | 2 | $285 |
| Onkos Surgical, Inc. | 1 | $14 |
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
$82,527 in reported general payments places this provider in the 80th 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 |
|---|---|---|
| Celecoxib | 18 | $409 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Charlottesville
- James BrowneCharlottesville$4.8M
- Tracy BorsingerCharlottesville$19K
- Emanuel HaugCharlottesville$3K
- Quanjun CuiCharlottesville$1K
- Nitin GoyalArlington$81.5M
- William HamiltonAlexandria$9.3M
- Charles EnghArlington$5.5M
- Kevin FrickaAlexandria$773K
- Anthony CarterNewport News$521K
- John CardeaRichmond$141K
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.