John Vance, DO
Surgery · Bristol, TNNPI 1659639888
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (50.4%), food and beverage and education — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Intuitive Surgical at 57.6% of the total. Reporting peaked in 2022 at $7,891 and has fallen 93.9% since, to $481 in 2025. Among surgery clinicians in TN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 145 payments — averaging $136.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$11K
- Davol Inc.$3K
- Angiodynamics, Inc.$2K
- Medical Device Business Services, Inc.$1K
- Conmed Corporation$639
- Johnson & Johnson$192
- plus $1K from 27 others
What the payments were for
- Travel & lodging$9,95250%
- Food & beverage$5,70029%
- Education$4,07721%
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 |
|---|---|---|
| Intuitive Surgical | 59 | $11,371 |
| Davol Inc. | 15 | $2,800 |
| Angiodynamics, Inc. | 2 | $2,154 |
| Medical Device Business Services, Inc. | 7 | $1,357 |
| Conmed Corporation | 9 | $639 |
| Johnson & Johnson | 5 | $192 |
| W. L. Gore & Associates, Inc. | 3 | $161 |
| Medtronic(2 entities) | 9 | $157 |
| Access Pro Medical, LLC | 1 | $134 |
| Baxter Healthcare | 1 | $89 |
| AstraZeneca(2 entities) | 5 | $89 |
| Olympus America Inc. | 1 | $61 |
| Osiris Therapeutics Inc. | 3 | $54 |
| Boston Scientific | 3 | $53 |
| Lemaitre Vascular, Inc. | 2 | $53 |
| Elucent Medical | 1 | $31 |
| Teleflex LLC | 2 | $31 |
| Mesh Suture Inc | 1 | $28 |
| Convatec Inc. | 1 | $27 |
| Leica Microsystems Inc. | 1 | $26 |
| Cardiovascular Systems Inc. | 2 | $24 |
| Bard Peripheral Vascular, Inc. | 1 | $22 |
| Merit Medical Systems Inc | 1 | $19 |
| KCI USA, Inc. | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $19 |
| Hologic Sales And Service, LLC | 1 | $19 |
| Elutia, Inc. | 1 | $16 |
| Sanofi-aventis U.S. LLC | 1 | $15 |
| Stryker | 1 | $14 |
| Aroa Biosurgery Incorporated | 1 | $14 |
| Clinical Technology, Inc | 1 | $13 |
| Smith+Nephew | 1 | $13 |
| Shire North American Group Inc | 1 | $12 |
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.
- Da Vinci Surgical System$6,523
- DAVINCI XI$3,000
- Phasix Mesh$2,332
- LINX Reflux Management System$1,181
- AIRSEAL$323
- GORE SYNECOR Biomaterial$136
- Matriderm$134
How this compares
$19,729 in reported general payments places this provider in the 90th percentile of 516 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates | 43 | $2,663 |
| Pantoprazole Sodium | 15 | $194 |
| Oxycodone Hcl | 39 | $69 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $36 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $33 |
| Ibuprofen | 14 | $20 |
Paid to pharmacies, not to this prescriber.
Other surgery in Bristol
- Paige FurrowBristol$39K
- Benjamin ScharfsteinBristol$30K
- Jessica McCrackenBristol$17K
- Heath BroussardJackson$688K
- Eric WallaceCookeville$529K
- John RobertsonJohnson City$432K
- Jaime Ponce-PortugalChattanooga$412K
- Evelio RodriguezNashville$362K
- Mathew NinanNashville$298K
- Joseph BroucekNashville$262K
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.