John Ernst, MD
Hand Surgery · Charleston, SCNPI 1619902905
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Integra Lifesciences Corporation at 37.8% of the total. Reporting peaked in 2019 at $232 and has fallen 75.6% since, to $57 in 2024. That places this record below the midpoint for hand surgery clinicians in SC, where the typical reported total is $2,706.
Across 12 payments — averaging $51.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$232
- Axogen$125
- Ferring Pharmaceuticals Inc.$104
- Exsomed Corporation$64
- Johnson & Johnson$46
- Endo USA, Inc.$22
- plus $21 from 1 others
What the payments were for
- Food & beverage$614100%
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 | $232 |
| Axogen | 1 | $125 |
| Ferring Pharmaceuticals Inc. | 4 | $104 |
| Exsomed Corporation | 1 | $64 |
| Johnson & Johnson(2 entities) | 2 | $46 |
| Endo USA, Inc. | 1 | $22 |
| ERMI LLC | 1 | $21 |
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.
- NEURAGEN$232
- TENOGLIDE$232
- AVANCE NERVE GRAFT$125
How this compares
$614 in reported general payments places this provider in the 25th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $168 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Charleston
- Dane DaleyCharleston$137K
- Sarah YannascoliCharleston$8K
- Charles DalyCharleston$3K
- Kimberly YoungCharleston$3K
- Reginald BrookerCharleston$1K
- John MacilwaineCharleston$596
- William MuirheadCharleston$398
- James PriceMt Pleasant$24K
- Jason DickherberSpartanburg$18K
- Shea RayGreenville$13K
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.