Stuart Gardner, MD
Adult Reconstructive Orthopaedic Surgery · Blacksburg, VANPI 1710983499
Payments from drug & device makers
What this record shows
5 manufacturers reported payments, led by Smith+Nephew at 41.7% of the total. Reporting peaked in 2019 at $1,206 and has fallen 89.9% since, to $121 in 2025. That places this record below the midpoint for adult reconstructive orthopaedic surgery clinicians in VA, where the typical reported total is $8,085.
Across 41 payments — averaging $68.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Johnson & Johnson$809
- Zimmer Biomet$747
- Pacira Pharmaceuticals Incorporated$56
- Sonex Health, Inc.$26
What the payments were for
- Travel & lodging$1,61057%
- Food & beverage$1,20143%
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 | 7 | $1,172 |
| Johnson & Johnson | 24 | $809 |
| Zimmer Biomet | 7 | $747 |
| Pacira Pharmaceuticals Incorporated | 2 | $56 |
| Sonex Health, Inc. | 1 | $26 |
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.
- Journey Uni$967
- VISIONAIRE Cutting Guides$967
- ROSA$491
- ATTUNE$150
- NA$134
- Comprehensive Shoulder System$121
How this compares
$2,811 in reported general payments places this provider in the 25th percentile of 58 adult reconstructive orthopaedic surgery providers in Virginia.
See all adult reconstructive 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 |
|---|---|---|
| Cephalexin | 19 | $49 |
Paid to pharmacies, not to this prescriber.
Other adult reconstructive orthopaedic surgery in Blacksburg
- Nitin GoyalArlington$81.5M
- William HamiltonAlexandria$9.3M
- Charles EnghArlington$5.5M
- James BrowneCharlottesville$4.8M
- Kevin FrickaAlexandria$773K
- Anthony CarterNewport News$521K
- John CardeaRichmond$141K
- Andrew NeviaserMc Lean$136K
- Robert SershonArlington$94K
- Ian DuensingCharlottesville$83K
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.