Keith Douglas, MD
Hand Surgery · Nashville, TNNPI 1730236621
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 12 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Alpha Orthopedic Systems at 31.4% of the total. Reporting peaked in 2021 at $93 and has fallen 58.1% since, to $39 in 2025. That places this record below the midpoint for hand surgery clinicians in TN, where the typical reported total is $3,914.
Across 12 payments — averaging $21.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$80
- Smith+Nephew$32
- Orthofix Medical, Inc.$30
- Endo Pharmaceuticals Inc.$27
- Merck$21
- Endo USA, Inc.$18
- plus $46 from 3 others
What the payments were for
- Food & beverage$254100%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 2 | $80 |
| Smith+Nephew | 1 | $32 |
| Orthofix Medical, Inc. | 2 | $30 |
| Endo Pharmaceuticals Inc. | 2 | $27 |
| Merck | 1 | $21 |
| Endo USA, Inc. | 1 | $18 |
| Music City Medical Technologies, LLC | 1 | $16 |
| Acumed LLC | 1 | $16 |
| Johnson & Johnson | 1 | $14 |
How this compares
$254 in reported general payments places this provider in the 5th percentile of 60 hand surgery providers in Tennessee.
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.
Other hand surgery in Nashville
- Donald LeeNashville$546K
- Mihir DesaiNashville$110K
- Gleb MedvedevNashville$60K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Jane SiegelNashville$22K
- Michael VaughnNashville$13K
- Adam CochranNashville$8K
- Shaan PatelNashville$5K
- William MeltonNashville$5K
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.