Ryan Ponton, MD
Hand Surgery · Virginia Beach, VANPI 1043470685
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,844 of the $5,766 with a category attached, or 66.7%. 15 manufacturers reported payments, led by Arthrex at 58.0% of the total. Reporting peaked in 2022 at $3,419 and has fallen 93.4% since, to $225 in 2025.
Across 32 payments — averaging $180.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$3K
- Impactortho, Inc.$1K
- Stryker$190
- Endo Pharmaceuticals Inc.$185
- Vertex$122
- Heron Therapeutics, Inc.$119
- plus $311 from 9 others
What the payments were for
- Travel & lodging$3837%
- Food & beverage$1,44525%
- Education$3,84467%
- Gifts$942%
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 |
|---|---|---|
| Arthrex | 9 | $3,343 |
| Impactortho, Inc. | 2 | $1,497 |
| Stryker(2 entities) | 3 | $190 |
| Endo Pharmaceuticals Inc. | 4 | $185 |
| Vertex | 1 | $122 |
| Heron Therapeutics, Inc. | 1 | $119 |
| Arthrosurface Incorporated | 1 | $78 |
| Endo USA, Inc. | 4 | $70 |
| Johnson & Johnson | 1 | $40 |
| Skeletal Dynamics Inc | 1 | $31 |
| Elevate Surgical Co | 1 | $23 |
| Trice Medical, Inc. | 1 | $21 |
| Innovation Technologies Inc | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $16 |
| Dynasplint Systems Inc. | 1 | $14 |
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
$5,766 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Naloxone Hcl | 14 | $863 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 48 | $156 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Virginia Beach
- Samuel KlineVirginia Beach$588
- 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
- Drew KiernanLynchburg$15K
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.