Keith Glowacki, MD
Hand Surgery · Richmond, VANPI 1285600486
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (50.8%), education and food and beverage — rather than concentrated in one kind of arrangement. 9 manufacturers reported payments, led by Fortis Surgical, LLC at 46.4% of the total. Reporting peaked in 2023 at $2,668 and has fallen 92.6% since, to $196 in 2025.
Across 19 payments — averaging $225.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fortis Surgical, LLC$2K
- Axogen$2K
- Arthrex$186
- Zimmer Biomet$117
- Stryker$105
- Integra Lifesciences Corporation$32
- plus $43 from 3 others
What the payments were for
- Travel & lodging$2,18051%
- Food & beverage$91121%
- Education$1,20028%
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 |
|---|---|---|
| Fortis Surgical, LLC | 6 | $1,990 |
| Axogen | 3 | $1,818 |
| Arthrex | 2 | $186 |
| Zimmer Biomet | 1 | $117 |
| Stryker | 2 | $105 |
| Integra Lifesciences Corporation | 2 | $32 |
| Alafair Biosciences, Inc. | 1 | $17 |
| Bioventus LLC | 1 | $14 |
| Linvatec Corporation | 1 | $12 |
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.
- AVANCE NERVE GRAFT$1,818
- AxoGuard Nerve Connector$1,818
- AxoGuard Nerve Protector$1,818
- Biomet Orthopak$117
How this compares
$4,291 in reported general payments places this provider in the 55th percentile of 81 hand 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 |
|---|---|---|
| Methylprednisolone | 96 | $777 |
| Meloxicam | 77 | $197 |
| Tramadol Hcl | 12 | $19 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Richmond
- Joseph MeterRichmond$9K
- Ilvy CotterellRichmond$6K
- Joy SharmaRichmond$3K
- Jessica FrankenhoffRichmond$2K
- John BlankRichmond$350
- Lance DavlinNorfolk$165K
- Chad MankeVa Beach$104K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Kacy PeekCharlottesville$31K
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.