Michael Vaughn, MD
Hand Surgery · Nashville, TNNPI 1427476969
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (43.9%), education and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Medical Device Business Services, Inc. at 43.9% of the total. 2025 is the largest year on record at $6,057, more than ten times the $233 reported in 2019.
Across 37 payments — averaging $344.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$6K
- Arthrex$3K
- True North Surgical Inc$2K
- Great Lakes Orthopedics$772
- Acumed LLC$530
- Stryker$370
- plus $405 from 4 others
What the payments were for
- Consulting fees$5,60044%
- Travel & lodging$2,05016%
- Food & beverage$1,27710%
- Education$3,81830%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 1 | $5,600 |
| Arthrex | 10 | $2,837 |
| True North Surgical Inc | 3 | $2,231 |
| Great Lakes Orthopedics | 5 | $772 |
| Acumed LLC | 3 | $530 |
| Stryker | 7 | $370 |
| Endo Pharmaceuticals Inc. | 2 | $233 |
| Integra Lifesciences Corporation | 1 | $93 |
| AbbVie | 4 | $60 |
| Smith+Nephew | 1 | $19 |
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
$12,744 in reported general payments places this provider in the 75th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 96 | $321 |
| Ibuprofen | 34 | $179 |
| Meloxicam | 13 | $33 |
| Tramadol Hcl | 11 | $26 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Nashville
- Donald LeeNashville$546K
- Mihir DesaiNashville$110K
- Gleb MedvedevNashville$60K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Jane SiegelNashville$22K
- Adam CochranNashville$8K
- Shaan PatelNashville$5K
- William MeltonNashville$5K
- Samuel CrosbyNashville$4K
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.