Joshua Alley, MD
Surgery · Lynchburg, VANPI 1982816427
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (43.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 84.4% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2022 at $7,253 and has fallen 95.7% since, to $315 in 2025. Among 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 93 payments — averaging $171.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Davol Inc.$607
- Medtronic$353
- Medical Device Business Services, Inc.$346
- Johnson & Johnson$259
- Standard Bariatrics, Inc.$250
- plus $677 from 11 others
What the payments were for
- Consulting fees$2502%
- Travel & lodging$5,11132%
- Food & beverage$3,72023%
- Education$6,86343%
- Gifts$160%
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 | $13,469 |
| Davol Inc. | 4 | $607 |
| Medtronic | 7 | $353 |
| Medical Device Business Services, Inc. | 2 | $346 |
| Johnson & Johnson | 3 | $259 |
| Standard Bariatrics, Inc. | 1 | $250 |
| Novo Nordisk | 6 | $183 |
| Teleflex LLC | 1 | $131 |
| Lilly USA, LLC | 1 | $114 |
| Pacira Pharmaceuticals Incorporated | 1 | $74 |
| Conmed Corporation | 1 | $45 |
| Rhythm Pharmaceuticals, Inc. | 2 | $37 |
| GRT US Holding, Inc. | 1 | $21 |
| Dexcom, Inc. | 1 | $21 |
| Xeris Pharmaceuticals, Inc. | 1 | $21 |
| Bayer | 1 | $15 |
| Covidien LP | 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.
- DAVINCI XI$6,500
- Da Vinci Surgical System$5,578
- Phasix Mesh$380
- DA VINCI SP$304
- Signia$145
- Dextile$133
- Titan SGS$131
- Enseal X1$125
- VISTASEAL$125
- Harmonic$125
- Echelon Circular$113
- Echelon Flex$113
- Saxenda$111
How this compares
$15,960 in reported general payments places this provider in the 90th percentile of 675 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 |
|---|---|---|
| OzempicSemaglutide | 18 | $20,228 |
| Ursodiol | 37 | $7,855 |
| Omeprazole | 53 | $677 |
| Scopolamine | 21 | $295 |
| Ondansetron OdtOndansetron | 20 | $142 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $32 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Novo NordiskOzempic | $183 | $20,22818 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 675 surgery providers in Virginia.
Other surgery in Lynchburg
- Brian CharnockLynchburg$36K
- Clinton BeverlyLynchburg$17K
- Raymond MakhoulRichmond$1.5M
- Zobair YounossiFalls Church$1.2M
- Yassar YoussefNorfolk$1M
- David WeintrittAlexandria$555K
- Hazem ElarinyVienna$368K
- George GillianLorton$214K
- Joseph GreeneReston$187K
- Lamiere DowningChristiansburg$175K
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.