Brian Macdonald, DPM
Foot & Ankle Surgery · Brunswick, MENPI 1104832054
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 10 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 7 manufacturers reported payments, led by Smith+Nephew at 23.8% of the total. Reporting peaked in 2023 at $86 and has fallen 78.3% since, to $19 in 2024. That places this record below the midpoint for foot & ankle surgery clinicians in ME, where the typical reported total is $723.
Across 10 payments — averaging $22.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$54
- Kerecis Limited$50
- Stryker$50
- Boston Scientific$22
- Treace Medical Concepts, Inc.$19
- Paratek Pharmaceuticals, Inc.$19
- plus $14 from 1 others
What the payments were for
- Food & beverage$228100%
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 | 3 | $54 |
| Kerecis Limited | 1 | $50 |
| Stryker | 2 | $50 |
| Boston Scientific | 1 | $22 |
| Treace Medical Concepts, Inc. | 1 | $19 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
| Tactile Systems Technology Inc | 1 | $14 |
How this compares
$228 in reported general payments places this provider in the 25th percentile of 33 foot & ankle surgery providers in Maine.
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 ErDiclofenac Sodium | 13 | $296 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $164 |
| Methylprednisolone | 16 | $124 |
| Oxycodone Hcl | 12 | $60 |
| Meloxicam | 18 | $40 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Brunswick
- Michael SaraydarianBrunswick$2K
- Jared WilkinsonBrunswick$1K
- Dwight BleaseBrunswick$723
- Barry WhiteYarmouth$330K
- Ashley MychakRockport$84K
- Jules BodoPortland$18K
- James FullwoodPittsfield$17K
- Todd ObrienOld Town$4K
- Kenneth FlaniganPortland$3K
- Thanh Thao NguyenScarborough$3K
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.