John Gorski, MD
Surgery of the Hand · Novi, MINPI 1194088088
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,011 of the $3,130 with a category attached, or 64.3%. 12 manufacturers reported payments, led by Skeletal Dynamics Inc at 27.0% of the total. Reporting peaked in 2019 at $1,543 and has fallen 65.5% since, to $532 in 2025. That places this record below the midpoint for surgery of the hand clinicians in MI, where the typical reported total is $3,724.
Across 32 payments — averaging $97.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skeletal Dynamics Inc$846
- Axogen$762
- Stryker$613
- Medical Device Business Services, Inc.$348
- Acera Surgical, Inc.$145
- Amgen$125
- plus $290 from 6 others
What the payments were for
- Speaking & faculty fees$161%
- Travel & lodging$75524%
- Food & beverage$2,01164%
- Education$34811%
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 |
|---|---|---|
| Skeletal Dynamics Inc | 3 | $846 |
| Axogen | 7 | $762 |
| Stryker(2 entities) | 6 | $613 |
| Medical Device Business Services, Inc. | 2 | $348 |
| Acera Surgical, Inc. | 1 | $145 |
| Amgen | 1 | $125 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $115 |
| Endo Pharmaceuticals Inc. | 4 | $56 |
| Endo USA, Inc. | 2 | $41 |
| Orthofix Medical, Inc. | 3 | $36 |
| Mimedx Group, Inc. | 1 | $29 |
| Bioventus LLC | 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.
- Geminus$755
- Align$755
- IJS$755
- Implate$755
- AxoGuard Nerve Protector$440
- AxoGuard Nerve Connector$440
- AVANCE NERVE GRAFT$416
- AXOGUARD HA+ NERVE PROTECTOR$282
- AxoGuard Nerve Cap$282
- VARIAX$255
- T2 ALPHA$164
- Restrata Wound Matrix$145
- Repatha$125
- EVOLVE$115
How this compares
$3,130 in reported general payments places this provider in the 45th percentile of 41 surgery of the hand providers in Michigan.
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 |
|---|---|---|
| Meloxicam | 19 | $53 |
| Tramadol Hcl | 24 | $48 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Novi
- Leslie WongGrand Rapids$185K
- Alberto AvilesWarren$22K
- Ara BushShelby Township$18K
- Emily AbbottWarren$14K
- Michael FitzsimmonsYpsilanti$13K
- Andrew TsaiDetroit$11K
- Caroline WurtzelChelsea$10K
- Edmund GradyWarren$9K
- Marek HansdorferTraverse City$8K
- Edward HaassDearborn$8K
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.