Todd Wurth, MD
Hand Surgery · Franklin, TNNPI 1619964111
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (58.7%), food and beverage and education — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Alpha Orthopedic Systems at 29.9% of the total. That places this record below the midpoint for hand surgery clinicians in TN, where the typical reported total is $3,914.
Across 32 payments — averaging $80.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$775
- Arthrex$645
- Music City Medical Technologies, LLC$614
- Acumed LLC$288
- Stryker$75
- Endo Pharmaceuticals Inc.$75
- plus $116 from 5 others
What the payments were for
- Travel & lodging$1,51859%
- Food & beverage$99538%
- Education$753%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 4 | $775 |
| Arthrex | 11 | $645 |
| Music City Medical Technologies, LLC | 3 | $614 |
| Acumed LLC | 5 | $288 |
| Stryker | 1 | $75 |
| Endo Pharmaceuticals Inc. | 1 | $75 |
| Pacira Pharmaceuticals Incorporated | 3 | $59 |
| Sonex Health, Inc. | 1 | $17 |
| Orthofix Medical, Inc. | 1 | $16 |
| Pfizer | 1 | $15 |
| Skeletal Dynamics Inc | 1 | $10 |
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.
- ACUMED$484
- INnate Implant$102
How this compares
$2,587 in reported general payments places this provider in the 40th percentile of 60 hand surgery 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 |
|---|---|---|
| Diclofenac Sodium | 30 | $337 |
| Methylprednisolone | 27 | $181 |
| Celecoxib | 15 | $146 |
| Cephalexin | 26 | $66 |
| Meloxicam | 21 | $36 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Franklin
- Jeffrey KutsikovichFranklin$7K
- Donald LeeNashville$546K
- Mihir DesaiNashville$110K
- Gleb MedvedevNashville$60K
- Brett SandersChattanooga$55K
- Todd RubinNashville$39K
- Jed MaslowNashville$29K
- Paul GormanJohnson City$24K
- Jane SiegelNashville$22K
- Daniel BranhamOak Ridge$19K
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.