Katherine Duff, PA
Surgical · Roanoke, VANPI 1053482950
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 161 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 22.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2021 at $1,279 and has fallen 92.9% since, to $91 in 2025. Among surgical 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 161 payments — averaging $24.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nalu Medical, Inc.$894
- Medtronic$637
- Abbott$631
- Nevro Corp.$386
- IBSA Pharma Inc.$381
- Johnson & Johnson$169
- plus $861 from 18 others
What the payments were for
- Food & beverage$3,959100%
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 |
|---|---|---|
| Nalu Medical, Inc. | 15 | $894 |
| Medtronic | 16 | $637 |
| Abbott | 50 | $631 |
| Nevro Corp. | 10 | $386 |
| IBSA Pharma Inc. | 14 | $381 |
| Johnson & Johnson | 9 | $169 |
| GRT US Holding, Inc. | 9 | $114 |
| Boston Scientific | 3 | $96 |
| AbbVie | 5 | $83 |
| Pacira Therapeutics, Inc. | 1 | $78 |
| Averitas Pharma Inc. | 4 | $73 |
| Biodelivery Sciences International, Inc. | 4 | $57 |
| Collegium Pharmaceutical, Inc. | 4 | $51 |
| Amgen | 3 | $47 |
| Lilly USA, LLC | 2 | $35 |
| Bioventus LLC | 2 | $35 |
| Amneal Pharmaceuticals LLC | 2 | $34 |
| Kowa Pharmaceuticals America, Inc. | 2 | $28 |
| Lundbeck LLC | 1 | $27 |
| Biohaven Pharmaceutical Holding Company Ltd. | 1 | $23 |
| Si-bone, Inc. | 1 | $23 |
| Pfizer | 1 | $23 |
| Novo Nordisk | 1 | $19 |
| Merz Pharmaceuticals, LLC | 1 | $13 |
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.
How this compares
$3,959 in reported general payments places this provider in the 90th percentile of 201 surgical 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 |
|---|---|---|
| Lidocaine | 15 | $1,092 |
| Diclofenac Sodium | 13 | $993 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $765 |
| Duloxetine Hcl | 17 | $633 |
| Oxycodone Hcl | 19 | $342 |
| Gabapentin | 26 | $337 |
| Tizanidine Hcl | 20 | $229 |
| Cyclobenzaprine Hcl | 18 | $200 |
Paid to pharmacies, not to this prescriber.
Other surgical in Roanoke
- Tyler KempRoanoke$13K
- Savannah WrightRoanoke$10K
- John ConradRoanoke$2K
- Kathryn HoytRoanoke$2K
- Jeanine GargiuloAlexandria$298K
- Kelly LohmannWoodbridge$88K
- Alan FitchRichmond$66K
- Kristin LuptonFairfax$16K
- Rebecca LehmanCharlottesville$11K
- Kathryn RobertsonCharlottesville$8K
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.