Tiffany Pan, MD
Hand Surgery · Alexandria, VANPI 1336434570
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,431 of the $3,093 with a category attached, or 78.6%. 11 manufacturers reported payments, led by Axogen at 46.9% of the total. Reporting peaked in 2019 at $1,906 and has fallen 88.1% since, to $226 in 2025. That places this record below the midpoint for hand surgery clinicians in VA, where the typical reported total is $3,008.
Across 27 payments — averaging $114.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Axogen$1K
- Medartis Inc.$607
- Pacira Therapeutics, Inc.$177
- Stryker$166
- Supreme Orthopedic Systems, LLC$152
- Integra Lifesciences Corporation$149
- plus $392 from 5 others
What the payments were for
- Travel & lodging$66221%
- Food & beverage$2,43179%
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 |
|---|---|---|
| Axogen | 4 | $1,451 |
| Medartis Inc. | 7 | $607 |
| Pacira Therapeutics, Inc. | 3 | $177 |
| Stryker | 2 | $166 |
| Supreme Orthopedic Systems, LLC | 1 | $152 |
| Integra Lifesciences Corporation | 2 | $149 |
| Johnson & Johnson | 3 | $124 |
| Smith+Nephew | 1 | $110 |
| Bioventus LLC | 1 | $106 |
| Checkpoint Surgical, Inc | 2 | $31 |
| Amgen | 1 | $20 |
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.
- AxoGuard Nerve Connector$1,390
- AxoGuard Nerve Protector$1,390
- APTUS$476
- Ascension$220
- Zilretta$141
- TENOGLIDE$136
- MAKO$130
- EVOS$110
- NO BRAND$110
- Exogen$106
How this compares
$3,093 in reported general payments places this provider in the 50th 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 |
|---|---|---|
| Diclofenac Sodium | 29 | $288 |
| Methylprednisolone | 20 | $121 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 31 | $97 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Alexandria
- 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
- Giacomo CappelletiNorfolk$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.