Cassandra Tomczak, DPM
Foot & Ankle Surgery · Tualatin, ORNPI 1689991804
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (46.5%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. Paragon 28, Inc. accounts for 66.1% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2022 at $26,861 and has fallen 73.2% since, to $7,198 in 2025. Among foot & ankle surgery clinicians in OR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 136 payments — averaging $535.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$48K
- Medical Device Business Services, Inc.$12K
- Stryker$6K
- Synthes GmbH$2K
- Exactech, Inc.$1K
- Synthes USA Products LLC$1K
- plus $2K from 13 others
What the payments were for
- Royalty or licence$20,01727%
- Consulting fees$33,88047%
- Travel & lodging$12,80318%
- Food & beverage$6,1178%
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 |
|---|---|---|
| Paragon 28, Inc. | 60 | $48,102 |
| Medical Device Business Services, Inc. | 11 | $11,835 |
| Stryker(2 entities) | 29 | $6,153 |
| Synthes GmbH | 5 | $1,955 |
| Exactech, Inc. | 4 | $1,421 |
| Synthes USA Products LLC | 1 | $1,360 |
| Smith+Nephew | 9 | $640 |
| Johnson & Johnson | 4 | $281 |
| Treace Medical Concepts, Inc. | 2 | $248 |
| Orthofix Medical, Inc. | 1 | $180 |
| Next Science LLC | 2 | $142 |
| Steelhead Surgical Inc | 1 | $133 |
| Zimmer Biomet | 1 | $118 |
| Globus Medical | 1 | $89 |
| Medtronic | 1 | $48 |
| Left Coast Surgical Inc | 1 | $35 |
| Arteriocyte Medical Systems, Inc. | 1 | $31 |
| Mimedx Group, Inc. | 1 | $25 |
| KCI USA, Inc. | 1 | $20 |
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.
- Portfolio$22,358
- Product Portfolio$22,203
- LCP$7,480
- NA$2,821
- EXTERNAL FIXATION$2,210
- HOFFMANN$2,100
- APEX 3D$1,434
- PROPHECY$1,412
- INFINITY$1,411
- EPIC FOOT PLATE SYSTEM$1,229
- SUPRAMALLEOLAR$856
- INBONE$462
- INFINITY ADAPTIS$300
- AUGMENT INJECTABLE$294
- Supramalleolar Osteotomy$236
- Lapiplasty System$228
- VANTAGE$193
- TrueLok$180
- SALVATION$170
- PROSTEP MICA$170
How this compares
$72,817 in reported general payments places this provider in the 95th percentile of 113 foot & ankle surgery providers in Oregon.
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 |
|---|---|---|
| Oxycodone Hcl | 23 | $130 |
| Cephalexin | 13 | $87 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Tualatin
- Natalie MesnierPortland$339K
- Stephen WallaceLake Oswego$205K
- Scott BoyntonPortland$120K
- Andrew ShinabargerPortland$85K
- Akash GuptaMilwaukie$40K
- Timothy MineoGresham$25K
- Justin BrohardSalem$24K
- Trevor HaynesSandy$21K
- Kevin DriscollPortland$21K
- Michael MurdockAstoria$14K
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.