Ali Rahnama Vaghef, DPM
Foot & Ankle Surgery · Washington, DCNPI 1538588793
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $92,539 of the $132,053 with a category attached, or 70.1%. Orthofix Medical, Inc. accounts for 62.3% of it on its own, with 23 other manufacturers making up the rest. Among foot & ankle surgery clinicians in DC 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 243 payments — averaging $543.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$82K
- Arthrex$16K
- Bone Support Inc.$9K
- Ossio Inc$9K
- Treace Medical Concepts, Inc.$8K
- Supreme Orthopedic Systems, LLC$4K
- plus $4K from 18 others
What the payments were for
- Consulting fees$92,53970%
- Speaking & faculty fees$11,5009%
- Travel & lodging$10,7218%
- Food & beverage$12,58010%
- Education$4,7144%
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. | 97 | $82,216 |
| Arthrex | 36 | $16,016 |
| Bone Support Inc. | 11 | $9,229 |
| Ossio Inc | 13 | $9,057 |
| Treace Medical Concepts, Inc. | 11 | $7,803 |
| Supreme Orthopedic Systems, LLC | 17 | $3,771 |
| Linvatec Corporation | 4 | $1,716 |
| Stryker | 12 | $833 |
| Smith+Nephew | 21 | $462 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $158 |
| Johnson & Johnson | 3 | $154 |
| Seapearl East, Inc | 1 | $99 |
| Zimmer Biomet | 1 | $94 |
| Integra Lifesciences Corporation | 4 | $94 |
| In2bones USA, LLC | 1 | $90 |
| Anika Therapeutics, Inc. | 1 | $73 |
| Bioventus LLC | 2 | $44 |
| Newclip USA LLC | 1 | $24 |
| Medline Industries LP | 1 | $24 |
| Kerecis Limited | 1 | $22 |
| Organogenesis Inc. | 1 | $22 |
| Arteriocyte Medical Systems, Inc. | 1 | $20 |
| Restor3d, Inc. | 1 | $17 |
| TELA Bio, Inc. | 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.
- TrueLok$47,163
- JUNIORTHO PLATING SYSTEM$24,131
- Ankle Compression Nailing System$10,069
- CERAMENTBONE VOID FILLER$9,201
- LAPIPLASTY SYSTEM 1$6,638
- COLINK PLATING SYSTEM$1,500
- ANKLE HINDFOOT NAILING SYSTEM$1,221
- CERAMENT G$1,000
- TMC SPEEDMTP$755
- TMC NANOPLASTY SYSTEM$249
- HOFFMANN$228
- VARIAX$163
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE BUNION$147
- AUGMENT INJECTABLE$127
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE MTP$125
- NA$101
- ALLOGRAFT TISSUE$100
How this compares
$132,053 in reported general payments places this provider in the 90th percentile of 23 foot & ankle surgery providers in District of Columbia.
See all foot & ankle surgery providers in District of Columbia →
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 | 77 | $2,155 |
| Ciclopirox | 17 | $774 |
| Ammonium Lactate | 20 | $538 |
| Ketoconazole | 16 | $200 |
| Gabapentin | 11 | $176 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Washington
- Paul CooperWashington$186K
- John SteinbergWashington$166K
- Jayson AtvesWashington$24K
- Shelton McKenzieWashington$22K
- Bilal LouzatiWashington$18K
- Ali QadriWashington$17K
- Alex MattiaWashington$13K
- Emily DurranceWashington$9K
- Selin RuggieriWashington$7K
- Caitlin ZarickWashington$5K
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.