Ayan Goswami, DPM
Foot & Ankle Surgery · Altamonte Springs, FLNPI 1265748644
Payments from drug & device makers
Across 67 payments — averaging $47.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$860
- Voom Medical Devices, Inc.$729
- Ossio Inc$491
- Embody, Inc.$415
- Smith+Nephew$144
- Spine Wave, Inc.$75
- plus $497 from 16 others
What the payments were for
- Travel & lodging$1,48546%
- Food & beverage$1,72654%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 10 | $860 |
| Voom Medical Devices, Inc. | 1 | $729 |
| Ossio Inc | 10 | $491 |
| Embody, Inc. | 14 | $415 |
| Smith+Nephew | 8 | $144 |
| Spine Wave, Inc. | 1 | $75 |
| Bioventus LLC | 4 | $67 |
| Electronic Waveform Lab, Inc. | 1 | $50 |
| Stryker | 1 | $50 |
| Zimvie Inc. | 3 | $47 |
| ERMI LLC | 2 | $46 |
| Johnson & Johnson | 2 | $46 |
| Medshape, Inc. | 1 | $30 |
| Highridge Medical LLC | 1 | $25 |
| Axogen | 1 | $24 |
| Aroa Biosurgery Incorporated | 1 | $20 |
| Hartmann USA, Inc. | 1 | $17 |
| GRT US Holding, Inc. | 1 | $17 |
| Paratek Pharmaceuticals, Inc. | 1 | $16 |
| Globus Medical | 1 | $15 |
| Zyla Life Sciences, Inc. | 1 | $14 |
| Nuvasive Specialized Orthopedics, 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.
How this compares
$3,211 in reported general payments places this provider in the 50th percentile of 850 foot & ankle surgery providers in Florida.
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 |
|---|---|---|
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $74 |
| Terbinafine Hcl | 12 | $73 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $70 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Altamonte Springs
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1.1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$938K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$814K
- Riquel GonzalezHialeah$612K
- Mario CalaHialeah$544K
- Christopher ReevesLake Mary$437K
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.