Timothy Vance, PA
Physician Assistant · Knoxville, TNNPI 1649639154
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (53.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Arthrex accounts for 65.7% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2022 at $8,345 and has fallen 94.8% since, to $436 in 2025. Among physician assistant clinicians in TN with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 81 payments — averaging $166.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$9K
- Alpha Orthopedic Systems$3K
- Lilly USA, LLC$335
- AbbVie$271
- Smoky Mountain Surgical LLC$197
- Sun Pharmaceutical Industries Inc.$150
- plus $254 from 5 others
What the payments were for
- Travel & lodging$3,31525%
- Food & beverage$2,95322%
- Education$7,20053%
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 |
|---|---|---|
| Arthrex | 35 | $8,847 |
| Alpha Orthopedic Systems | 24 | $3,414 |
| Lilly USA, LLC | 6 | $335 |
| AbbVie | 3 | $271 |
| Smoky Mountain Surgical LLC | 4 | $197 |
| Sun Pharmaceutical Industries Inc. | 1 | $150 |
| Vertex | 1 | $102 |
| Endo Pharmaceuticals Inc. | 3 | $56 |
| Axogen | 1 | $51 |
| Ferring Pharmaceuticals Inc. | 2 | $30 |
| Amgen | 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.
How this compares
$13,468 in reported general payments places this provider in the 95th percentile of 2,404 physician assistant providers in Tennessee.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 62 | $396 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 62 | $259 |
Paid to pharmacies, not to this prescriber.
Other physician assistant in Knoxville
- Lindsey NixKnoxville$576K
- Katherine RunyanKnoxville$156K
- Kevin BlazerKnoxville$20K
- Meghan ShotwellKnoxville$18K
- Danielle WarrenKnoxville$11K
- Hannah DareingKnoxville$11K
- Anna KerseySavannah$399K
- Brie ChandlerNashville$317K
- Loree EasleyBartlett$187K
- Robert LaughertyAlcoa$122K
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.