Caroline Smith
Foot & Ankle Surgery · Altamonte Springs, FLNPI 1588958326
Payments from drug & device makers
Across 137 payments — averaging $32.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Kerecis Limited$864
- Paratek Pharmaceuticals, Inc.$343
- Organogenesis Inc.$320
- Stryker$294
- Medline Industries LP$242
- plus $1K from 24 others
What the payments were for
- Food & beverage$4,36499%
- Gifts$571%
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 | 42 | $1,049 |
| Kerecis Limited | 9 | $864 |
| Paratek Pharmaceuticals, Inc. | 14 | $343 |
| Organogenesis Inc. | 17 | $320 |
| Stryker(2 entities) | 6 | $294 |
| Medline Industries LP | 2 | $242 |
| Next Science LLC | 7 | $225 |
| In2bones USA, LLC | 1 | $120 |
| Osiris Therapeutics Inc. | 1 | $110 |
| Stability Biologics, LLC | 1 | $108 |
| Bard Peripheral Vascular, Inc. | 1 | $102 |
| KCI USA, Inc. | 5 | $89 |
| Melinta Therapeutics, LLC | 4 | $74 |
| Averitas Pharma Inc. | 3 | $73 |
| ETS Wound Care LLC | 3 | $69 |
| Johnson & Johnson | 2 | $43 |
| Hartmann USA, Inc. | 2 | $38 |
| Aroa Biosurgery Incorporated | 2 | $34 |
| Solventum Corporation | 2 | $34 |
| AbbVie | 2 | $28 |
| Bioventus LLC | 1 | $27 |
| Triad Life Sciences Inc. | 2 | $27 |
| Acera Surgical, Inc. | 1 | $21 |
| Lifenet Health | 1 | $17 |
| Mimedx Group, Inc. | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $13 |
| Cashflow Solutions, LLC | 1 | $13 |
| Reapplix Inc. | 1 | $12 |
| Advanced Oxygen Therapy Inc. | 1 | $7 |
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.
- Kerecis Omega3 SurgiClose$925
- Kerecis Omega3 Marigen$692
- Kerecis Omega3 GraftGuide$590
- Kerecis Omega3 Wound$247
- Kerecis Omega3 Surgibind$247
- SurgX$138
- Xperience$138
- BlastX$138
- LIMFLOW SYSTEM$131
- NUZYRA$125
- Dermatology and Wound Care$124
- TriWay TTC Nail$120
- PitStop$120
- i2b Bead Kit$120
- ClearGuard$120
- CoLag$120
- PluroGel Burn & Wound Dressings$117
- Stravix$110
- Grafix$110
- GrafixPL$110
How this compares
$4,421 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 18 | $32,156 |
| Gentamicin Sulfate | 23 | $938 |
| Doxycycline Hyclate | 43 | $637 |
| Levetiracetam | 11 | $424 |
| Mupirocin | 33 | $397 |
| Diclofenac Sodium | 13 | $392 |
| Ammonium Lactate | 13 | $194 |
| Ciprofloxacin Hcl | 18 | $190 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 29 | $169 |
| Cephalexin | 21 | $139 |
| Triamcinolone Acetonide | 14 | $137 |
| Gabapentin | 12 | $64 |
| Tramadol Hcl | 16 | $51 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $1,049 | $32,15618 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 55th percentile of 850 foot & ankle surgery providers in Florida.
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.