Milton Armstrong, MD
Surgery of the Hand · Charleston, SCNPI 1255397543
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 84 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 22 manufacturers reported payments, led by Musculoskeletal Transplant Foundation Inc. at 29.6% of the total. Reporting peaked in 2020 at $2,973 and has fallen 54.5% since, to $1,354 in 2025.
Across 84 payments — averaging $124.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Musculoskeletal Transplant Foundation Inc.$3K
- AbbVie$1K
- Axogen$1K
- Mentor Worldwide LLC$1K
- Sientra, Inc.$551
- TELA Bio, Inc.$543
- plus $3K from 16 others
Across 6 payments — averaging $2264.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Axogen$14K
What the payments were for
- Food & beverage$10,454100%
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 |
|---|---|---|
| Musculoskeletal Transplant Foundation Inc. | 5 | $3,095 |
| AbbVie(2 entities) | 11 | $1,195 |
| Axogen | 14 | $1,187 |
| Mentor Worldwide LLC | 10 | $1,013 |
| Sientra, Inc. | 5 | $551 |
| TELA Bio, Inc. | 6 | $543 |
| Integra Lifesciences Corporation | 4 | $519 |
| Smith+Nephew | 5 | $459 |
| Acera Surgical, Inc. | 4 | $419 |
| KCI USA, Inc. | 5 | $294 |
| Kerecis Limited | 2 | $246 |
| Access Pro Medical, LLC | 1 | $184 |
| Sanara Medtech Inc. | 1 | $152 |
| Organogenesis Inc. | 1 | $122 |
| Medtronic | 2 | $117 |
| Johnson & Johnson | 1 | $116 |
| Bioventus LLC | 1 | $74 |
| Acumed LLC | 1 | $50 |
| Avita Medical Americas, LLC | 1 | $35 |
| Alafair Biosciences, Inc. | 1 | $33 |
| Lemaitre Vascular, Inc. | 1 | $31 |
| Skeletal Dynamics Inc | 2 | $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.
- INTEGRA$1,007
- Kerecis Omega3 Marigen$859
- NATRELLE SALINE-FILLED BREAST IMPLANTS$782
- SIENTRA HIGH STRENGTH COHESIVE SILICONE GEL BREAST IMPLANT$463
- MENTOR MemoryGel Resterilizable Gel Sizer$391
- INTEGRA DERMAL REGENERATION TEMPLATE$379
- AxoGuard Nerve Connector$375
- AxoGuard Nerve Protector$375
- GRAFIX PL$356
- Stravix$356
- Restrata Wound Matrix$343
- MemoryGel Breast Implants$334
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$324
- PRIMATRIX$248
- Kerecis Omega3 SurgiClose$246
- ARTOURA Breast Tissue Expander$239
- NATRELLE$236
- AVANCE NERVE GRAFT$222
- Matriderm$184
- OviTex 2S$170
How this compares
Too few surgery of the hand providers in South Carolinato place this figure against a meaningful peer group, so we don't.
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 of the hand in Charleston
- Manoucher TavanaCharleston$29K
- John McFaddenCharleston$6K
- Jason ClarkCharleston$3K
- Gerald ShealyCharleston$152
- Nicholas WhiteFlorence$16K
- Mirsad MujadzicColumbia$10K
- Muamer MujadzicSumter$8K
- Lawrence RudisillGreenville$2K
- Christopher LittsFlorence$2K
- David LukowskiLittle River$1K
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.