Jeffrey Marchessault, MD
Hand Surgery · Johnson City, TNNPI 1134114333
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,369 of the $1,946 with a category attached, or 70.4%. 20 manufacturers reported payments, led by Integra Lifesciences Corporation at 25.9% of the total. 2025 is the largest year on record at $833, 3.2 times the $259 reported in 2019. That places this record below the midpoint for hand surgery clinicians in TN, where the typical reported total is $3,914.
Across 40 payments — averaging $48.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$504
- Axogen$342
- Biocomposites Inc$236
- Kls-martin L.p.$213
- Medartis Inc.$129
- Endo Pharmaceuticals Inc.$120
- plus $403 from 14 others
What the payments were for
- Food & beverage$1,36970%
- Education$905%
- Other$48725%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 2 | $504 |
| Axogen | 3 | $342 |
| Biocomposites Inc | 1 | $236 |
| Kls-martin L.p. | 1 | $213 |
| Medartis Inc. | 3 | $129 |
| Endo Pharmaceuticals Inc. | 3 | $120 |
| Pacira Therapeutics, Inc. | 4 | $53 |
| Polynovo North America LLC | 2 | $41 |
| DJO, LLC | 2 | $38 |
| Johnson & Johnson | 1 | $36 |
| Acumed LLC | 1 | $35 |
| Convatec Inc. | 2 | $32 |
| Abbott | 2 | $30 |
| Skeletal Dynamics Inc | 4 | $28 |
| Amgen | 2 | $25 |
| Bioventus LLC | 2 | $24 |
| Ferring Pharmaceuticals Inc. | 2 | $24 |
| Endo USA, Inc. | 1 | $17 |
| Zyla Life Sciences, Inc. | 1 | $13 |
| Medela LLC | 1 | $6 |
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
$1,946 in reported general payments places this provider in the 25th percentile of 60 hand surgery providers in Tennessee.
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.
Other hand surgery in Johnson City
- Paul GormanJohnson City$24K
- Donald LeeNashville$546K
- Mihir DesaiNashville$110K
- Gleb MedvedevNashville$60K
- Brett SandersChattanooga$55K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Jane SiegelNashville$22K
- Daniel BranhamOak Ridge$19K
- Heather TaillacCookeville$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.