Stephen Ernst, MD
Orthopaedic Surgery · Rockingham, VANPI 1245627462
Payments from drug & device makers
Across 87 payments — averaging $286.09 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Micromed Inc$8K
- Encore Medical, LP$6K
- Fortis Surgical, LLC$3K
- Stryker$2K
- Shoulder Innovations, Inc.$2K
- Arthrex$1K
- plus $2K from 9 others
What the payments were for
- Speaking & faculty fees$3,00012%
- Travel & lodging$7,17029%
- Food & beverage$2,0288%
- Education$12,69251%
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 |
|---|---|---|
| Micromed Inc | 8 | $8,417 |
| Encore Medical, LP | 41 | $6,453 |
| Fortis Surgical, LLC | 4 | $3,090 |
| Stryker | 10 | $2,103 |
| Shoulder Innovations, Inc. | 6 | $1,991 |
| Arthrex | 2 | $1,224 |
| Medical Device Business Services, Inc. | 3 | $675 |
| Piedmont Plus Innovation | 4 | $388 |
| Acumed LLC | 2 | $130 |
| Integra Lifesciences Corporation | 1 | $128 |
| Axogen | 1 | $127 |
| Medtronic | 1 | $76 |
| KCI USA, Inc. | 2 | $57 |
| Amgen | 1 | $16 |
| Exactech, 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.
- DJO SURGICAL$4,560
- DJO Surgical AltiVate Anatomic System$2,255
- DJO Surgical AltiVate Reverse$1,965
- InSet System$1,883
- NONE$1,675
- DJO Surgical Discovery Elbow System$1,500
- AEQUALIS ASCEND FLEX$137
- AEQUALIS PERFORM$137
- AEQUALIS PERFORM REVERSED$137
- BILAYER WOUND MATRIX (BWM)$128
- INTEGRA WOUND MATRIX (IWM)$128
- AMNIOEXCEL$128
- IDRT$128
- FLOWABLE$128
- AVANCE NERVE GRAFT$127
- AxoGuard Nerve Connector$127
- AxoGuard Nerve Protector$127
- T2$112
How this compares
$24,890 in reported general payments places this provider in the 80th percentile of 473 orthopaedic 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 |
|---|---|---|
| Celecoxib | 114 | $4,009 |
| Diclofenac Sodium | 27 | $603 |
| Meloxicam | 38 | $417 |
| Methylprednisolone | 29 | $200 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $180 |
| Ibuprofen | 20 | $175 |
| Gabapentin | 13 | $56 |
| Tramadol Hcl | 14 | $43 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Rockingham
- Erwin SecretovRockingham$76K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.5M
- Mark de BloisNorth Chesterfield$4M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2.1M
- David MillerNorth Chesterfield$1.8M
- Keith LawhornFairfax$1.8M
- Joshua HerzogNorth Chesterfield$1.5M
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.