Tariq Nayfeh, MD
Orthopaedic Surgery · Winchester, VANPI 1215988217
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (53.1%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Conformis, Inc. accounts for 73.2% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2019 at $59,382 and has fallen 91.7% since, to $4,937 in 2025. Among orthopaedic surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 264 payments — averaging $568.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Conformis, Inc.$110K
- Smith+Nephew$28K
- Restor3d, Inc.$5K
- Supreme Orthopedic Systems, LLC$3K
- Zimmer Biomet$2K
- Ortho Development Corporation$740
- plus $2K from 16 others
What the payments were for
- Consulting fees$36,09724%
- Speaking & faculty fees$79,74253%
- Travel & lodging$23,48716%
- Food & beverage$8,0925%
- Education$2,7362%
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 |
|---|---|---|
| Conformis, Inc. | 179 | $109,969 |
| Smith+Nephew | 8 | $27,935 |
| Restor3d, Inc. | 12 | $5,240 |
| Supreme Orthopedic Systems, LLC | 5 | $2,605 |
| Zimmer Biomet | 28 | $2,112 |
| Ortho Development Corporation | 1 | $740 |
| Stryker | 6 | $466 |
| Medical Device Business Services, Inc. | 2 | $305 |
| Biocomposites Inc | 2 | $151 |
| Innovation Technologies Inc | 1 | $110 |
| Fidia Pharma USA Inc. | 5 | $96 |
| Heron Therapeutics, Inc. | 1 | $80 |
| Johnson & Johnson | 2 | $55 |
| Amgen | 2 | $46 |
| Kerecis Limited | 1 | $45 |
| Davol Inc. | 2 | $44 |
| Pacira Pharmaceuticals Incorporated | 2 | $42 |
| Trice Medical, Inc. | 1 | $40 |
| Endo Pharmaceuticals Inc. | 1 | $25 |
| ERMI LLC | 1 | $19 |
| Ferring Pharmaceuticals Inc. | 1 | $15 |
| Vericel Corporation | 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.
- Hip$53,327
- Legion$27,800
- iTotal, iUni, iDuo, Hip$19,021
- Journey II BCS$18,400
- Journey II CR$18,400
- Oxinium Knees$18,400
- iTotal Identity PS$11,374
- Hip, Identity$10,164
- Journey II$9,400
- Identity Imprint Knee Replacement System$7,072
- iTotal CR$6,035
- iTotal Hip Replacement System$5,402
- iTotal CR, iTotal PS, iUni, Hip System$2,246
- Pressfit$1,269
- Hip, Identity CR$1,205
- iTotal, Identity CR$899
- BKS TriMax$740
- Porous$540
- Oxford$417
- ATTUNE$305
How this compares
$150,154 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Vancomycin Hcl | 19 | $3,097 |
| Meropenem | 14 | $1,724 |
| Doxycycline Monohydrate | 17 | $607 |
| Ondansetron OdtOndansetron | 58 | $603 |
| Tramadol Hcl | 108 | $412 |
| Meloxicam | 114 | $346 |
| Oxycodone Hcl | 76 | $251 |
| Amoxicillin | 25 | $55 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Winchester
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
- Mark de BloisNorth Chesterfield$4M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2M
- David MillerNorth Chesterfield$1.7M
- Keith LawhornFairfax$1.6M
- Joseph GonduskyVirginia Beach$1.2M
- Joshua HerzogNorth Chesterfield$1M
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.