Andrew Vincent
Foot & Ankle Surgery · Winchester, VANPI 1215930243
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 51 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 14 manufacturers reported payments, led by Smith+Nephew at 43.8% of the total. That places this record below the midpoint for foot & ankle surgery clinicians in VA, where the typical reported total is $3,404.
Across 51 payments — averaging $49.61 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Integra Lifesciences Corporation$317
- IBSA Pharma Inc.$163
- Melinta Therapeutics, LLC$123
- ANI Pharmaceuticals, Inc.$118
- Abbott$108
- plus $594 from 8 others
What the payments were for
- Food & beverage$2,530100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Smith+Nephew | 27 | $1,108 |
| Integra Lifesciences Corporation | 5 | $317 |
| IBSA Pharma Inc. | 3 | $163 |
| Melinta Therapeutics, LLC | 1 | $123 |
| ANI Pharmaceuticals, Inc. | 1 | $118 |
| Abbott | 1 | $108 |
| Lifenet Health | 1 | $104 |
| Johnson & Johnson | 1 | $104 |
| Acumed LLC | 1 | $101 |
| Osiris Therapeutics Inc. | 1 | $100 |
| Tactile Systems Technology Inc | 6 | $99 |
| Boston Scientific | 1 | $54 |
| Nevro Corp. | 1 | $17 |
| Cashflow Solutions, LLC | 1 | $15 |
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.
- Stravix$612
- Grafix$380
- Oasis$370
- GRAFIX PL$366
- Licart$125
- Kimyrsa$123
- PURIFIED CORTROPHIN GEL$118
- INTEGRA MESHED BILAYER WOUND MATRIX$115
- INTEGRA WOUND MATRIX (IWM)$115
- PRIMATRIX$115
- INTEGRA DERMAL REGENERATION TEMPLATE$115
- INTEGRA FLOWABLE WOUND MATRIX$115
- Axium INS DRG IPG$108
- TheraGenesis Wound Matrix$104
- NA$104
- VA-LCP$104
- ACUMED$101
- OsteoMed$101
How this compares
$2,530 in reported general payments places this provider in the 40th 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 |
|---|---|---|
| Diclofenac Sodium | 57 | $1,703 |
| Gabapentin | 141 | $1,634 |
| Doxycycline Monohydrate | 54 | $1,353 |
| Pregabalin | 27 | $1,023 |
| Celecoxib | 26 | $544 |
| Naproxen | 76 | $507 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 14 | $462 |
| Nortriptyline Hcl | 72 | $405 |
| Ciprofloxacin Hcl | 31 | $376 |
| Cephalexin | 24 | $249 |
| Duloxetine Hcl | 16 | $183 |
| Allopurinol | 40 | $182 |
| Prednisone | 57 | $150 |
| Clobetasol Propionate | 11 | $143 |
| Oxycodone Hcl | 28 | $93 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Winchester
- Roland RamdassWinchester$153K
- Alex GorenshteinWinchester$48K
- 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
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.