Jonathan Isaacs, MD
Orthopaedic Surgery · Richmond, VANPI 1578656476
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $65,600 of the $92,423 with a category attached, or 71.0%. Biocircuit Technologies Inc accounts for 90.8% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $46,110, more than ten times the $824 reported in 2019. Among orthopaedic surgery clinicians in VA 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 65 payments — averaging $1421.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biocircuit Technologies Inc$84K
- Integra Lifesciences Corporation$5K
- Trimed, Inc.$1K
- Axogen$796
- Checkpoint Surgical, Inc$652
- Synthes GmbH$250
- plus $849 from 8 others
Across 68 payments — averaging $3871.09 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Axogen$263K
What the payments were for
- Consulting fees$65,60071%
- Speaking & faculty fees$5,0635%
- Travel & lodging$18,45920%
- Food & beverage$3,2053%
- Education$970%
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 |
|---|---|---|
| Biocircuit Technologies Inc | 32 | $83,906 |
| Integra Lifesciences Corporation | 4 | $4,813 |
| Trimed, Inc. | 6 | $1,158 |
| Axogen | 10 | $796 |
| Checkpoint Surgical, Inc | 2 | $652 |
| Synthes GmbH | 1 | $250 |
| Acumed LLC | 2 | $204 |
| Alafair Biosciences, Inc. | 2 | $188 |
| AbbVie | 1 | $135 |
| Medartis Inc. | 1 | $134 |
| Fortis Surgical, LLC | 1 | $59 |
| Endo USA, Inc. | 1 | $54 |
| Zimmer Biomet | 1 | $47 |
| Bioventus LLC | 1 | $27 |
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.
- Nerve Tape$44,673
- INTEGRA WOUND MATRIX (IWM)$4,813
- INTEGRA MESHED BILAYER WOUND MATRIX$4,813
- Checkpoint Stimulators$652
- Tools - WFS$618
- AxoGuard Nerve Protector$402
- AxoGuard Nerve Connector$402
- VersaWrap$169
- Hand Fracture System$146
- ALLODERM$135
- APTUS$134
How this compares
$92,423 in reported general payments places this provider in the 90th percentile of 473 orthopaedic 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 |
|---|---|---|
| Gabapentin | 40 | $241 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Richmond
- Colin MudrickRichmond$424K
- Matthew WalkerRichmond$265K
- Michael WindRichmond$178K
- Ryan RobertsonRichmond$133K
- Anup GangavalliRichmond$127K
- Norman BoardmanRichmond$91K
- Gregory GolladayRichmond$52K
- Christopher KesterRichmond$45K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
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.