Bryan Barbato, DPM
Foot & Ankle Surgery · Virginia Beach, VANPI 1376038182
Payments from drug & device makers
What this record shows
31 manufacturers reported payments, led by Stryker at 49.0% of the total. Reporting peaked in 2024 at $4,532 and has fallen 70.0% since, to $1,360 in 2025.
Across 136 payments — averaging $77.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Arthrex$978
- Integra Lifesciences Corporation$721
- Fortis Surgical, LLC$713
- Kerecis Limited$692
- Access Pro Medical, LLC$428
- plus $2K from 25 others
What the payments were for
- Travel & lodging$4,98247%
- Food & beverage$5,57053%
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 | 50 | $5,175 |
| Arthrex | 11 | $978 |
| Integra Lifesciences Corporation | 6 | $721 |
| Fortis Surgical, LLC | 9 | $713 |
| Kerecis Limited | 8 | $692 |
| Access Pro Medical, LLC | 3 | $428 |
| Amgen | 6 | $231 |
| Lifenet Health | 10 | $201 |
| Medtronic | 2 | $198 |
| Linvatec Corporation | 2 | $158 |
| Sanara Medtech Inc. | 1 | $149 |
| Trice Medical, Inc. | 1 | $130 |
| Innovation Technologies Inc | 1 | $110 |
| Globus Medical | 1 | $100 |
| Bioventus LLC | 3 | $78 |
| Flower Orthopedics Coporation | 2 | $75 |
| Johnson & Johnson | 3 | $64 |
| Nevro Corp. | 2 | $44 |
| Polynovo North America LLC | 1 | $37 |
| Recordati_rare_diseases_inc. | 2 | $36 |
| Organogenesis Inc. | 2 | $30 |
| Lilly USA, LLC | 1 | $24 |
| Xeris Pharmaceuticals, Inc. | 1 | $24 |
| Convatec Inc. | 1 | $23 |
| Teleflex LLC | 1 | $23 |
| Novo Nordisk | 1 | $21 |
| Sequel Med Tech, LLC | 1 | $21 |
| Pfizer | 1 | $20 |
| Abbott | 1 | $20 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 1 | $18 |
| Ultragenyx Pharmaceutical Inc. | 1 | $13 |
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.
- PROstep$2,176
- INTEGRA$1,714
- Kerecis Omega3 Marigen$961
- INFINITY$637
- INTEGRA DERMAL REGENERATION TEMPLATE$571
- PRIMATRIX$571
- INBONE$564
- CITREFIX$555
- Kerecis SurgiClose$549
- Matriderm$428
- VARIAX$383
- Kerecis Omega3 SurgiClose$357
- PROPHECY$285
- AUGMENT INJECTABLE$264
- HOFFMANN$227
- INTELLIS ADAPTIVESTIM$171
- PROSTEP MICA$156
- Viaflow$152
- CellerateRx$149
- Kerecis GraftGuide$137
How this compares
$10,552 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 24 | $108 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $77 |
| Gabapentin | 19 | $59 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Virginia Beach
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
- Bradley LevittVirginia Beach$243K
- Patrick AgnewVirginia Beach$22K
- Adam BillsVirginia Beach$19K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- 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.