Reza Mirali Akbari, MD
Plastic and Reconstructive Surgery · Annandale, VANPI 1437115987
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 44 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Smith+Nephew at 29.8% of the total. Reporting peaked in 2022 at $482 and has fallen 76.2% since, to $115 in 2025. That places this record below the midpoint for plastic and reconstructive surgery clinicians in VA, where the typical reported total is $2,384.
Across 44 payments — averaging $46.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$611
- Innovation Technologies Inc$272
- Mentor Worldwide LLC$158
- Coopersurgical, Inc.$149
- Avita Medical Americas, LLC$118
- AbbVie$118
- plus $624 from 12 others
What the payments were for
- Food & beverage$2,050100%
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 |
|---|---|---|
| Smith+Nephew | 6 | $611 |
| Innovation Technologies Inc | 2 | $272 |
| Mentor Worldwide LLC | 3 | $158 |
| Coopersurgical, Inc. | 2 | $149 |
| Avita Medical Americas, LLC | 1 | $118 |
| AbbVie(2 entities) | 3 | $118 |
| LEO Pharma Inc. | 5 | $101 |
| TELA Bio, Inc. | 2 | $96 |
| Johnson & Johnson | 3 | $82 |
| Sun Pharmaceutical Industries Inc. | 4 | $77 |
| Regeneron Healthcare Solutions, Inc. | 3 | $64 |
| Incyte Corporation | 2 | $50 |
| Lilly USA, LLC | 2 | $46 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $36 |
| Mayne Pharma Commercial LLC | 1 | $25 |
| Dermira, Inc. | 1 | $19 |
| Galderma Laboratories, L.p. | 1 | $16 |
| VYNE Pharmaceuticals Inc. | 1 | $12 |
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
$2,050 in reported general payments places this provider in the 40th percentile of 77 plastic and reconstructive surgery providers in Virginia.
See all plastic and reconstructive 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 |
|---|---|---|
| Cefadroxil | 36 | $70 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Annandale
- Maurice NahabedianMc Lean$828K
- Mark VenturiMc Lean$356K
- Neil ZemmelRichmond$38K
- Lauren NigroRichmond$28K
- Burton SundinRichmond$23K
- Vinod ChopraChantilly$19K
- Alexander SailonVirginia Beach$19K
- Samita GoyalGlen Allen$13K
- Alexandra TiltVirginia Beach$13K
- Victoria VastineCharlottesville$12K
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.