Patrick Ireland, MD
Neurological Surgery · Winchester, VANPI 1164402368
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $193 of the $293 with a category attached, or 65.8%. 5 manufacturers reported payments, led by Intuitive Surgical at 34.2% of the total. That places this record below the midpoint for neurological surgery clinicians in VA, where the typical reported total is $2,608.
Across 8 payments — averaging $36.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$100
- Johnson & Johnson$80
- Stryker$66
- Medtronic$32
- Providence Medical Technology, Inc.$15
What the payments were for
- Food & beverage$19366%
- Education$10034%
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 |
|---|---|---|
| Intuitive Surgical | 1 | $100 |
| Johnson & Johnson | 2 | $80 |
| Stryker | 2 | $66 |
| Medtronic | 2 | $32 |
| Providence Medical Technology, Inc. | 1 | $15 |
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
$293 in reported general payments places this provider in the 20th percentile of 156 neurological 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 |
|---|---|---|
| Nabumetone | 19 | $238 |
| Gabapentin | 21 | $202 |
| Tizanidine Hcl | 24 | $172 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $167 |
| Cyclobenzaprine Hcl | 17 | $104 |
| Methylprednisolone | 13 | $103 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Winchester
- David SalvettiWinchester$19K
- Allan FergusWinchester$6K
- Justin SmithCharlottesville$2.3M
- David VincentVirginia Beach$959K
- Mudit SharmaManassas$714K
- Ryan KelloggCharlottesville$245K
- Andrew FanousAlexandria$185K
- Bernardo OrdonezChesapeake$178K
- Parker BabingtonNorfolk$164K
- Devon LefeverChesapeake$148K
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.