Christopher Sakowski, MD
Foot and Ankle Surgery · Plano, TXNPI 1003255415
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (55.7%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Advanced Orthopaedic Solutions, Inc. at 59.5% of the total. Reporting peaked in 2020 at $37,169 and has fallen 94.9% since, to $1,891 in 2025. Among foot and ankle surgery clinicians in TX 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 181 payments — averaging $591.31 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Advanced Orthopaedic Solutions, Inc.$64K
- Arthrex$37K
- Pylant Medical$5K
- Stryker$568
- Restor3d, Inc.$305
- Ferring Pharmaceuticals Inc.$153
- plus $755 from 12 others
What the payments were for
- Consulting fees$25,89524%
- Speaking & faculty fees$59,63556%
- Travel & lodging$9,9219%
- Food & beverage$6,3416%
- Education$5,2355%
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 |
|---|---|---|
| Advanced Orthopaedic Solutions, Inc. | 15 | $63,673 |
| Arthrex | 72 | $37,008 |
| Pylant Medical | 40 | $4,565 |
| Stryker(2 entities) | 10 | $568 |
| Restor3d, Inc. | 2 | $305 |
| Ferring Pharmaceuticals Inc. | 8 | $153 |
| Integra Lifesciences Corporation | 7 | $145 |
| Johnson & Johnson | 9 | $130 |
| Smith+Nephew | 4 | $110 |
| Bioventus LLC | 4 | $106 |
| Medline Industries LP | 2 | $69 |
| Extremity Medical | 1 | $57 |
| Vertex | 2 | $37 |
| Next Science LLC | 1 | $27 |
| Axogen | 1 | $25 |
| Sanofi-aventis U.S. LLC | 1 | $18 |
| Merck | 1 | $16 |
| Kerecis Limited | 1 | $15 |
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.
- AOS PRODUCTS$34,673
- Trochanteric Nail$29,000
- AXS INFINITY LS$166
- BIOFOAM$102
How this compares
$107,027 in reported general payments places this provider in the 95th percentile of 684 foot and ankle surgery providers in Texas.
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-AcetaminophenOxycodone Hcl/Acetaminophen | 49 | $467 |
| Methylprednisolone | 22 | $143 |
| Celecoxib | 12 | $114 |
| Meloxicam | 19 | $38 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Plano
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
- Abdul NurudeenHouston$404K
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.