Alex Gorenshtein, DPM
Foot & Ankle Surgery · Winchester, VANPI 1154383891
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $29,499 of the $48,395 with a category attached, or 61.0%. Novastep Inc. accounts for 70.2% of it on its own, with 30 other manufacturers making up the rest. Reporting peaked in 2021 at $12,920 and has fallen 95.5% since, to $582 in 2025. Among foot & ankle surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 83 payments — averaging $583.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novastep Inc.$34K
- Stryker$8K
- Exactech, Inc.$3K
- Medshape, Inc.$1K
- Treace Medical Concepts, Inc.$342
- Acumed LLC$218
- plus $2K from 25 others
What the payments were for
- Consulting fees$29,49961%
- Speaking & faculty fees$5,10011%
- Travel & lodging$5,31611%
- Food & beverage$2,7056%
- Education$5,77512%
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 |
|---|---|---|
| Novastep Inc. | 18 | $33,967 |
| Stryker | 10 | $8,037 |
| Exactech, Inc. | 6 | $2,770 |
| Medshape, Inc. | 3 | $1,378 |
| Treace Medical Concepts, Inc. | 2 | $342 |
| Acumed LLC | 2 | $218 |
| Linvatec Corporation | 2 | $216 |
| Cardiovascular Systems Inc. | 2 | $172 |
| Paragon 28, Inc. | 3 | $151 |
| Trilliant Surgical LLC. | 2 | $137 |
| Ossio Inc | 1 | $130 |
| Johnson & Johnson | 1 | $115 |
| Biocomposites Inc | 1 | $111 |
| Kowa Pharmaceuticals America, Inc. | 6 | $103 |
| Terumo Medical Corporation | 2 | $98 |
| Smith+Nephew | 5 | $82 |
| Kerecis Limited | 1 | $49 |
| Tactile Systems Technology Inc | 2 | $36 |
| Amgen | 2 | $30 |
| Urgo Medical North America, LLC | 1 | $30 |
| Nevro Corp. | 1 | $24 |
| Integra Lifesciences Corporation | 1 | $24 |
| Averitas Pharma Inc. | 1 | $24 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $23 |
| Bioventus LLC | 1 | $23 |
| ANI Pharmaceuticals, Inc. | 1 | $22 |
| Rikco International, LLC | 1 | $20 |
| Organogenesis Inc. | 1 | $19 |
| Medtronic | 1 | $17 |
| Eagle Pharmaceuticals, Inc. | 1 | $17 |
| Merck | 1 | $11 |
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.
- AIRLOCK Forefoot/Midfoot Plating$12,175
- FUSIONFRAME Ring Lock Circular Fixator$6,725
- STAR$5,442
- AIRLOCK CENTROLOCK$5,100
- NEXIS$5,100
- ALLOWRAP$2,400
- VARIAX$2,400
- ASNIS$2,400
- PECA Bunion Correction System$2,400
- DynaNail$1,378
- VANTAGE$1,346
- EQUINOXE$1,313
- DynaNail Helix, Washer, 15 mm$1,275
- CENTROLOCK MIS Bunion Correction$957
- CREED Ortholocent Implants$298
- Lapiplasty System$294
- ACUMED$263
- OsteoMed$131
- Precision MIS Bunion$125
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$120
How this compares
$48,395 in reported general payments places this provider in the 90th percentile of 260 foot & ankle 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 |
|---|---|---|
| Ciclopirox | 25 | $598 |
| Cephalexin | 34 | $227 |
| Ammonium Lactate | 12 | $185 |
| Meloxicam | 62 | $71 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $58 |
| Gabapentin | 12 | $27 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Winchester
- Roland RamdassWinchester$153K
- Jeffrey GorenshteinWinchester$24K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
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.