Thomas Jacob, MD
Surgery of the Hand · Media, PANPI 1255347977
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 35 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 15 manufacturers reported payments, led by Smith+Nephew at 32.5% of the total. Reporting peaked in 2024 at $208 and has fallen 81.0% since, to $39 in 2025. That places this record below the midpoint for surgery of the hand clinicians in PA, where the typical reported total is $3,182.
Across 35 payments — averaging $22.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$253
- Integra Lifesciences Corporation$121
- Lifenet Health$116
- Urgo Medical North America, LLC$39
- Polynovo North America LLC$33
- Kerecis Limited$31
- plus $184 from 9 others
What the payments were for
- Food & beverage$777100%
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 | 14 | $253 |
| Integra Lifesciences Corporation | 2 | $121 |
| Lifenet Health | 6 | $116 |
| Urgo Medical North America, LLC | 1 | $39 |
| Polynovo North America LLC | 1 | $33 |
| Kerecis Limited | 1 | $31 |
| Pfizer | 2 | $29 |
| Bioventus LLC | 1 | $29 |
| Medtronic | 1 | $26 |
| AbbVie | 1 | $23 |
| Reapplix Inc. | 1 | $18 |
| Mentor Worldwide LLC | 1 | $16 |
| Stryker | 1 | $15 |
| Misonix Inc | 1 | $15 |
| B. Braun Medical Inc. | 1 | $12 |
How this compares
$777 in reported general payments places this provider in the 25th percentile of 20 surgery of the hand providers in Pennsylvania.
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 |
|---|---|---|
| Mupirocin | 48 | $353 |
| Oxycodone Hcl | 52 | $325 |
| Cephalexin | 25 | $160 |
Paid to pharmacies, not to this prescriber.
Other surgery of the hand in Media
- Francis DeloneMedia$1K
- Joel KlenaDanville$56K
- Robert KangPittsburgh$27K
- Jason YooPittsburgh$19K
- Nathan MillerAllentown$11K
- Scott EisenhuthState College$10K
- Alexander SpiessTrafford$7K
- Eugene ParkPhiladelphia$6K
- Dana LavantureSayre$5K
- Debra BournePittsburgh$4K
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.