Brian O Carroll, DPM
Foot & Ankle Surgery · Pismo Beach, CANPI 1336133768
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (40.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Fusion Orthopedics USA, LLC accounts for 64.9% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2024 at $4,722 and has fallen 73.2% since, to $1,265 in 2025.
Across 166 payments — averaging $58.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fusion Orthopedics USA, LLC$6K
- Biotissue Holdings Inc.$1K
- Organogenesis Inc.$965
- Mimedx Group, Inc.$514
- Treace Medical Concepts, Inc.$214
- Smith+Nephew$170
- plus $564 from 11 others
What the payments were for
- Consulting fees$4,00041%
- Travel & lodging$2,26923%
- Food & beverage$3,51436%
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 |
|---|---|---|
| Fusion Orthopedics USA, LLC | 8 | $6,350 |
| Biotissue Holdings Inc. | 16 | $1,007 |
| Organogenesis Inc. | 72 | $965 |
| Mimedx Group, Inc. | 34 | $514 |
| Treace Medical Concepts, Inc. | 3 | $214 |
| Smith+Nephew | 11 | $170 |
| Stryker | 6 | $155 |
| Orthofix Medical, Inc. | 4 | $78 |
| Zimmer Biomet | 2 | $76 |
| Bioventus LLC | 3 | $75 |
| Acell, Inc. | 1 | $35 |
| Vertex | 1 | $35 |
| Kerecis Limited | 1 | $33 |
| Medtronic | 1 | $27 |
| Tactile Systems Technology Inc | 1 | $22 |
| Cornerstone Medical Associates, Inc. | 1 | $14 |
| Integra Lifesciences Corporation | 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.
- NEOX$291
- CLARIX$291
- Lapiplasty System$158
How this compares
$9,784 in reported general payments places this provider in the 85th percentile of 1,126 foot & ankle surgery providers in California.
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 |
|---|---|---|
| Terbinafine Hcl | 50 | $337 |
| Gabapentin | 31 | $290 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $199 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 24 | $185 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Pismo Beach
- Byron CollierPismo Beach$80K
- Eric GizaSacramento$3.6M
- Thomas HarrisPasadena$3M
- Thomas ChangSanta Rosa$2M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
- Eric TanLos Angeles$447K
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.