Ashlee Macdonald, MD
Foot and Ankle Surgery · Hershey, PANPI 1083034318
Payments from drug & device makers
What this record shows
The money is spread across several categories — grants (33.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Arthrex at 46.0% of the total. Reporting peaked in 2020 at $11,100 and has fallen 76.8% since, to $2,579 in 2025. Among foot and ankle surgery clinicians in PA 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 125 payments — averaging $241.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$14K
- Paragon 28, Inc.$3K
- Fortis Surgical, LLC$3K
- Supreme Orthopedic Systems, LLC$2K
- Novus Surgical Consultants$2K
- Stryker$2K
- plus $3K from 5 others
What the payments were for
- Grants$10,00033%
- Travel & lodging$6,95623%
- Food & beverage$7,36624%
- Education$5,90020%
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 |
|---|---|---|
| Arthrex | 32 | $13,907 |
| Paragon 28, Inc. | 20 | $3,378 |
| Fortis Surgical, LLC | 11 | $3,316 |
| Supreme Orthopedic Systems, LLC | 4 | $2,379 |
| Novus Surgical Consultants | 15 | $2,158 |
| Stryker | 18 | $1,842 |
| Novastep Inc. | 14 | $1,675 |
| Exactech, Inc. | 5 | $638 |
| Trimed, Inc. | 2 | $537 |
| Treace Medical Concepts, Inc. | 2 | $230 |
| Smith+Nephew | 2 | $163 |
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.
- Product Portfolio$1,537
- PECA Bunion Correction System$1,203
- Portfolio$1,115
- VANTAGE$539
- T2$425
- INFINITY ADAPTIS$314
- AXSOS$292
- GAMMA$277
- Lapiplasty System$230
- INBONE$174
- ANKLE FRACTURE PLATING SYSTEM$145
- HOFFMANN$142
- AUGMENT INJECTABLE$136
- PSI IMPLANTS$110
- EVOS$103
How this compares
$30,223 in reported general payments places this provider in the 90th percentile of 575 foot and 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.
Other foot and ankle surgery in Hershey
- Jarrett CainHershey$29K
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- Jason MillerMalvern$501K
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.