James Kyriakedes, MD
Hand Surgery · Newport News, VANPI 1700220852
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (36.6%), education and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Arthrex at 52.3% of the total. Reporting peaked in 2020 at $1,797 and has fallen 95.6% since, to $79 in 2025. That places this record below the midpoint for hand surgery clinicians in VA, where the typical reported total is $3,008.
Across 34 payments — averaging $88.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Fortis Surgical, LLC$531
- Axogen$277
- Endo Pharmaceuticals Inc.$187
- Johnson & Johnson$87
- Checkpoint Surgical, Inc$81
- plus $273 from 6 others
What the payments were for
- Travel & lodging$84428%
- Food & beverage$1,10037%
- Education$1,06435%
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 |
|---|---|---|
| Arthrex | 9 | $1,572 |
| Fortis Surgical, LLC | 7 | $531 |
| Axogen | 8 | $277 |
| Endo Pharmaceuticals Inc. | 2 | $187 |
| Johnson & Johnson | 1 | $87 |
| Checkpoint Surgical, Inc | 1 | $81 |
| Skeletal Dynamics Inc | 1 | $79 |
| Smith+Nephew | 1 | $77 |
| Zimmer Biomet | 1 | $67 |
| Acell, Inc. | 1 | $19 |
| Medical Device Business Services, Inc. | 1 | $17 |
| Amgen | 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.
- XIAFLEX$102
How this compares
$3,008 in reported general payments places this provider in the 50th percentile of 81 hand 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 |
|---|---|---|
| Acetaminophen-CodeineAcetaminophen With Codeine | 41 | $146 |
| Doxycycline Monohydrate | 11 | $139 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $82 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $39 |
| Tramadol Hcl | 13 | $13 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Newport News
- Nicholas SmerlisNewport News$2K
- Andrea LeseNewport News$991
- Lance DavlinNorfolk$165K
- Chad MankeVa Beach$104K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Kacy PeekCharlottesville$31K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
- Jeffrey LovalloArlington$16K
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.