Christopher Lotufo, DPM
Foot & Ankle Surgery · Vancouver, WANPI 1215909452
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $20,961 of the $28,160 with a category attached, or 74.4%. 15 manufacturers reported payments, led by Medical Device Business Services, Inc. at 46.0% of the total. Reporting peaked in 2021 at $9,141 and has fallen 85.2% since, to $1,352 in 2025. Among foot & ankle surgery clinicians in WA 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 83 payments — averaging $339.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$13K
- Novastep Inc.$9K
- Stryker$3K
- Restor3d, Inc.$1K
- Medline Industries LP$792
- Johnson & Johnson$340
- plus $1K from 9 others
What the payments were for
- Consulting fees$20,96174%
- Travel & lodging$3,74913%
- Food & beverage$3,45012%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 7 | $12,957 |
| Novastep Inc. | 10 | $9,040 |
| Stryker(2 entities) | 23 | $2,588 |
| Restor3d, Inc. | 7 | $1,277 |
| Medline Industries LP | 6 | $792 |
| Johnson & Johnson | 5 | $340 |
| Biogennix, LLC | 1 | $174 |
| Arthrex | 2 | $167 |
| Alpha Orthopedic Systems | 3 | $154 |
| Bioventus LLC | 3 | $151 |
| Smith+Nephew | 8 | $146 |
| Anika Therapeutics, Inc. | 4 | $140 |
| Steelhead Surgical Inc | 1 | $101 |
| Paragon 28, Inc. | 2 | $94 |
| Medartis Inc. | 1 | $40 |
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.
- NA$8,775
- HEADLESS COMPRESSION SCREWS$7,605
- INSTRUMENTS$7,605
- VA-LCP PLATES & SCREWS$7,605
- FUSIONFRAME Ring Lock Circular Fixator$6,691
- VA-LCP$5,265
- PECA Bunion Correction System$1,400
- PROstep$1,281
- PECAPLASTY$603
- MIS Instrumentation$205
- DirectCell w/Agilon$174
- ANCHORAGE$151
- Exogen Ultrasound Bone Healing System$131
- LCP$118
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$107
- INFINITY$106
- AIRLOCK Forefoot/Midfoot Plating$100
How this compares
$28,160 in reported general payments places this provider in the 95th percentile of 203 foot & ankle surgery providers in Washington.
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 |
|---|---|---|
| Naloxone Hcl | 26 | $1,783 |
| Ondansetron OdtOndansetron | 105 | $772 |
| Diclofenac Sodium | 104 | $647 |
| Methylprednisolone | 52 | $438 |
| Oxycodone Hcl | 71 | $248 |
| Celecoxib | 20 | $201 |
| Gabapentin | 37 | $194 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $97 |
| Cephalexin | 12 | $41 |
| Meloxicam | 16 | $39 |
| Tramadol Hcl | 21 | $39 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Vancouver
- Tyler BelnapVancouver$19K
- Brian HoungVancouver$7K
- Jeffery LinscheidVancouver$6K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Richard LamourOlympia$87K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Craig CliffordFederal Way$44K
- Shawn KhademiRenton$43K
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.