Brett Chicko, DPM
Foot & Ankle Surgery · Fredericksburg, VANPI 1457341620
Payments from drug & device makers
Across 15 payments — averaging $24.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$71
- Abbott$51
- Cardiovascular Systems Inc.$50
- Triad Life Sciences Inc.$34
- GRT US Holding, Inc.$24
- Misonix Inc$24
- plus $113 from 7 others
What the payments were for
- Food & beverage$368100%
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 |
|---|---|---|
| Stryker | 1 | $71 |
| Abbott | 1 | $51 |
| Cardiovascular Systems Inc. | 1 | $50 |
| Triad Life Sciences Inc. | 1 | $34 |
| GRT US Holding, Inc. | 1 | $24 |
| Misonix Inc | 2 | $24 |
| Smith+Nephew | 1 | $23 |
| Organogenesis Inc. | 2 | $22 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Bsn Medical Inc | 1 | $15 |
| Assertio Therapeutics, Inc. | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $3 |
How this compares
$368 in reported general payments places this provider in the 10th 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 |
|---|---|---|
| Colchicine | 13 | $3,729 |
| Ketoconazole | 61 | $1,138 |
| Diclofenac Sodium | 125 | $1,014 |
| Ciclopirox | 50 | $824 |
| Terbinafine Hcl | 59 | $396 |
| Gabapentin | 36 | $323 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 33 | $210 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 11 | $9 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Fredericksburg
- Shrunjay PatelFredericksburg$35K
- Michael BowenFredericksburg$18K
- Ross GirvanFredericksburg$11K
- Melissa GuloshFredericksburg$10K
- Charles ZelenRoanoke$6.2M
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$1.2M
- Matthew DairmanSuffolk$376K
- Ryan VazalesGlen Allen$337K
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.