Albert Giagnacova, DPM
Foot & Ankle Surgery · Philadelphia, PANPI 1952612319
Payments from drug & device makers
Across 91 payments — averaging $85.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$4K
- Liberty Surgical Inc.$960
- Organogenesis Inc.$856
- Davol Inc.$750
- Treace Medical Concepts, Inc.$267
- Smith+Nephew$252
- plus $741 from 18 others
What the payments were for
- Speaking & faculty fees$75010%
- Travel & lodging$3,25442%
- Food & beverage$2,81836%
- Education$96012%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 35 | $3,956 |
| Liberty Surgical Inc. | 1 | $960 |
| Organogenesis Inc. | 12 | $856 |
| Davol Inc. | 1 | $750 |
| Treace Medical Concepts, Inc. | 3 | $267 |
| Smith+Nephew | 18 | $252 |
| Stryker(2 entities) | 2 | $115 |
| Medtronic | 1 | $93 |
| Neurocrine Biosciences, Inc. | 1 | $83 |
| Siemens Medical Solutions USA, Inc. | 1 | $55 |
| Biocomposites Inc | 1 | $54 |
| Medshape, Inc. | 1 | $49 |
| Access Pro Medical, LLC | 1 | $43 |
| Zimmer Biomet | 2 | $39 |
| AstraZeneca(2 entities) | 2 | $37 |
| Checkpoint Surgical, Inc | 1 | $29 |
| Urgo Medical North America, LLC | 1 | $24 |
| Exactech, Inc. | 1 | $24 |
| Kerecis Limited | 1 | $24 |
| KCI USA, Inc. | 1 | $21 |
| Acera Surgical, Inc. | 1 | $16 |
| Acumed LLC | 1 | $16 |
| Johnson & Johnson | 1 | $13 |
| Lifenet Health | 1 | $6 |
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.
- TrueLok$3,966
- Surgiphor$750
- PuraPly$460
- TMC PSI CUT GUIDE SYSTEM$126
- Lapiplasty System$124
How this compares
$7,782 in reported general payments places this provider in the 75th percentile of 575 foot & ankle surgery 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 |
|---|---|---|
| Doxycycline Hyclate | 19 | $213 |
| Methylprednisolone | 11 | $86 |
| Meloxicam | 22 | $75 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Philadelphia
- William BrownellPhiladelphia$43K
- Michael TroianoPhiladelphia$38K
- Jenna BrkichPhiladelphia$25K
- Jennifer vanPhiladelphia$17K
- Roshmi BhattacharyaPhiladelphia$17K
- Ali AnaimPhiladelphia$17K
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.7M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
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.