Jourdan Gard, DO
Hand Surgery · Warren, MINPI 1346731296
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (33.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Pinnacle, Inc at 36.1% of the total. Reporting peaked in 2022 at $2,900 and has fallen 53.4% since, to $1,353 in 2025.
Across 117 payments — averaging $122.13 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$5K
- Medical Device Business Services, Inc.$2K
- Stryker$2K
- Smith+Nephew$1K
- Arthrex$1K
- Skeletal Dynamics Inc$940
- plus $2K from 14 others
What the payments were for
- Travel & lodging$4,73733%
- Food & beverage$4,75233%
- Education$4,80034%
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 |
|---|---|---|
| Pinnacle, Inc | 11 | $5,152 |
| Medical Device Business Services, Inc. | 1 | $1,911 |
| Stryker | 33 | $1,901 |
| Smith+Nephew | 13 | $1,356 |
| Arthrex | 18 | $1,152 |
| Skeletal Dynamics Inc | 4 | $940 |
| Axogen | 4 | $405 |
| Johnson & Johnson | 8 | $367 |
| Aroa Biosurgery Incorporated | 2 | $192 |
| Endo Pharmaceuticals Inc. | 3 | $156 |
| Integra Lifesciences Corporation | 1 | $132 |
| Endo USA, Inc. | 7 | $125 |
| Zimmer Biomet | 3 | $107 |
| Baxter Healthcare | 2 | $101 |
| Medartis Inc. | 1 | $100 |
| Impactortho, Inc. | 1 | $56 |
| Conformis, Inc. | 1 | $46 |
| Fidia Pharma USA Inc. | 2 | $44 |
| Kerecis Limited | 1 | $29 |
| Si-bone, Inc. | 1 | $16 |
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$832
- Align$832
- IJS$832
- Implate$832
- FAST-FIX$734
- Q-FIX$642
- AVANCE NERVE GRAFT$385
- AXSOS$283
- TRAUMA$229
- T2 ALPHA$164
- GAMMA$145
- PANGEA$135
- TENOGLIDE$132
- MAKO$130
- INSIGNIA$130
- AxoGuard Nerve Connector$125
- AxoGuard Nerve Protector$125
- AXOGUARD HA+ NERVE PROTECTOR$125
- AxoGuard Nerve Cap$125
- ALLOPURE$122
How this compares
$14,289 in reported general payments places this provider in the 85th percentile of 55 hand surgery 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $36 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Warren
- Steven KushnerWarren$1K
- Edward BurkeWarren$76
- John LienYpsilanti$56K
- Jeffrey LawtonAnn Arbor$46K
- Randy LovellGrand Rapids$40K
- Hussein HamidSouthfield$33K
- Alexander KelsheimerHolland$30K
- Janelle GreeneYpsilanti$20K
- Emily TanPort Huron$15K
- Andrew BaronDetroit$15K
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.