Julia Cook Beresford, MD
Surgery of the Hand · Reno, NVNPI 1740717321
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,489 of the $3,470 with a category attached, or 71.7%. Trimed, Inc. accounts for 83.6% of it on its own, with 8 other manufacturers making up the rest.
Across 23 payments — averaging $150.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trimed, Inc.$3K
- Axogen$202
- Kerecis Limited$188
- Bioventus LLC$58
- Acumed LLC$35
- Goode Surgical Inc$35
- plus $53 from 3 others
What the payments were for
- Travel & lodging$98028%
- Food & beverage$2,48972%
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 |
|---|---|---|
| Trimed, Inc. | 11 | $2,899 |
| Axogen | 3 | $202 |
| Kerecis Limited | 1 | $188 |
| Bioventus LLC | 3 | $58 |
| Acumed LLC | 1 | $35 |
| Goode Surgical Inc | 1 | $35 |
| Polynovo North America LLC | 1 | $19 |
| Endo USA, Inc. | 1 | $17 |
| Solventum Corporation | 1 | $17 |
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.
- Kerecis SurgiClose$752
- Tools - WFS$628
- Kerecis GraftGuide$188
How this compares
Too few surgery of the hand providers in Nevadato place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Ibuprofen | 19 | $56 |
| Oxycodone Hcl | 18 | $24 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Reno
- Nichole Joslyn EasthamReno$22K
- Christopher IngersolReno$1K
- Ashley PistorioLas Vegas$19K
- Nitin EngineerHenderson$12K
- Carl WilliamsLas Vegas$7K
- Jacquelynn LeeLas Vegas$4K
- Rachel GuestLas Vegas$3K
- Kenny HannaLas Vegas$2K
- Shushan JacobNorth Las Vegas$1K
- Timothy TollestrupHenderson$160
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.