Lydell Lettsome, MD
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (36.6%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 91.4% of it on its own, with 22 other manufacturers making up the rest. 2025 is the largest year on record at $17,047, more than ten times the $1,140 reported in 2019. Among surgery clinicians in DE with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 143 payments — averaging $220.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$29K
- Covidien LP$539
- Organogenesis Inc.$527
- Novo Nordisk$458
- Integra Lifesciences Corporation$180
- Boston Scientific$162
- plus $840 from 17 others
What the payments were for
- Consulting fees$8,61327%
- Speaking & faculty fees$11,55037%
- Travel & lodging$4,95416%
- Food & beverage$6,39220%
- Education$170%
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 |
|---|---|---|
| Smith+Nephew | 90 | $28,819 |
| Covidien LP | 5 | $539 |
| Organogenesis Inc. | 13 | $527 |
| Novo Nordisk | 4 | $458 |
| Integra Lifesciences Corporation | 3 | $180 |
| Boston Scientific | 4 | $162 |
| Next Science LLC | 1 | $144 |
| Paratek Pharmaceuticals, Inc. | 1 | $125 |
| Progenics Pharmaceuticals, Inc. | 1 | $103 |
| Misonix Inc | 5 | $89 |
| Bsn Medical Inc | 1 | $58 |
| KCI USA, Inc. | 3 | $51 |
| Pfizer | 1 | $43 |
| Innovation Technologies Inc | 1 | $38 |
| Intuitive Surgical | 2 | $30 |
| Bioventus LLC | 1 | $24 |
| Reapplix Inc. | 1 | $23 |
| Supreme Orthopedic Systems, LLC | 1 | $23 |
| Urgo Medical North America, LLC | 1 | $21 |
| Solventum Corporation | 1 | $20 |
| Acell, Inc. | 1 | $18 |
| Mimedx Group, Inc. | 1 | $17 |
| Merck | 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.
- Grafix$23,182
- NA$19,627
- Stravix$12,653
- GRAFIX PL$9,650
- Grafix XC$9,113
- Oasis$9,045
- PICO$2,385
- Versajet$2,169
- STRAVIX PL$1,775
- COLLAGENASE SANTYL$1,664
- STRAVIX MESH$1,650
- INTEGRA$421
- Iodosorb Ointment 40g USA$334
- Xperience$144
- BlastX$144
- SurgX$144
- PURAPLY WOUND MATRIX$143
- Affinity$143
- Apligraf$143
- INTEGRA DERMAL REGENERATION TEMPLATE$140
How this compares
$31,524 in reported general payments places this provider in the 95th percentile of 89 surgery providers in Delaware.
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 surgery in Dover
- Barath KrishnanDover$15K
- Mridul PansariDover$6K
- Thomas BarnettDover$5K
- Theodoros KatsichtisDover$5K
- John MitchellDover$4K
- Rahul SinghDover$3K
- Amber JacobsonDover$2K
- Brandt FeuersteinDover$1K
- Radu NedelcoviciuDover$1K
- Nasrin AnsariDover$885
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.