Nicholas Smerlis, MD
Hand Surgery · Newport News, VANPI 1376673103
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,040 of the $2,405 with a category attached, or 84.9%. Acumed LLC accounts for 93.2% of it on its own, with 1 other manufacturer making up the rest. That places this record below the midpoint for hand surgery clinicians in VA, where the typical reported total is $3,008.
Across 5 payments — averaging $480.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$2K
- Acera Surgical, Inc.$164
What the payments were for
- Travel & lodging$2,04085%
- Food & beverage$36415%
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 |
|---|---|---|
| Acumed LLC | 3 | $2,240 |
| Acera Surgical, Inc. | 2 | $164 |
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.
- Acu-Loc/Acu-Loc 2 Wrist Plating System$1,190
- Elbow Plates$1,190
- Scapula Plates$1,190
- Anatomic Radial Head$1,190
- Radial Head Plates$1,190
- Polarus 3 Solution$1,050
- Elbow Plating System$1,050
- Acu-Loc Wrist Plating System$1,050
- Restrata Wound Matrix$117
How this compares
$2,405 in reported general payments places this provider in the 40th 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 |
|---|---|---|
| Ondansetron OdtOndansetron | 112 | $767 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 89 | $309 |
| Prednisone | 43 | $308 |
| Methylprednisolone | 40 | $248 |
| Oxycodone Hcl | 59 | $191 |
| Cephalexin | 18 | $103 |
| Promethazine Hcl | 38 | $99 |
| Mupirocin | 12 | $74 |
| Tramadol Hcl | 12 | $15 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Newport News
- James KyriakedesNewport News$3K
- Andrea LeseNewport News$991
- Lance DavlinNorfolk$165K
- Chad MankeVa Beach$104K
- Frank GwathmeyNorfolk$68K
- Angelo DacusCharlottesville$57K
- Kacy PeekCharlottesville$31K
- Rikesh GandhiArlington$22K
- Nicole SgromoloFort Belvoir$17K
- Jeffrey LovalloArlington$16K
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.