Damon Combs, DPM
Foot & Ankle Surgery · Bethel Park, PANPI 1588825947
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (28.2%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 29 manufacturers reported payments, led by Fusion Orthopedics USA, LLC at 26.8% of the total. Reporting peaked in 2024 at $32,127 and has fallen 60.6% since, to $12,672 in 2025. Among foot & ankle surgery clinicians in PA 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 208 payments — averaging $300.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Fusion Orthopedics USA, LLC$17K
- Royal Biologics, Inc.$12K
- Organogenesis Inc.$11K
- Averitas Pharma Inc.$9K
- Mid-atlantic Surgical Systems, LLC$6K
- Arthrex$3K
- plus $4K from 23 others
What the payments were for
- Royalty or licence$6,11210%
- Consulting fees$17,55028%
- Speaking & faculty fees$17,64028%
- Travel & lodging$8,57714%
- Food & beverage$5,6489%
- Education$6,98011%
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 |
|---|---|---|
| Fusion Orthopedics USA, LLC | 9 | $16,754 |
| Royal Biologics, Inc. | 6 | $11,885 |
| Organogenesis Inc. | 58 | $10,917 |
| Averitas Pharma Inc. | 29 | $9,280 |
| Mid-atlantic Surgical Systems, LLC | 12 | $6,321 |
| Arthrex | 11 | $2,993 |
| GRT US Holding, Inc. | 17 | $1,164 |
| Fusion Orthopedics, LLC. | 2 | $1,033 |
| Curonix LLC | 3 | $361 |
| Bioventus LLC | 16 | $309 |
| Smith+Nephew | 5 | $226 |
| Abbott | 3 | $193 |
| Pacira Pharmaceuticals Incorporated | 9 | $184 |
| RMR Ortho Inc | 3 | $169 |
| Osteomed LLC | 1 | $114 |
| Johnson & Johnson(2 entities) | 3 | $106 |
| Biotissue Holdings Inc. | 2 | $99 |
| Stryker | 2 | $91 |
| Si-bone, Inc. | 3 | $54 |
| Boston Scientific | 2 | $45 |
| Vertex | 2 | $40 |
| Sanofi-aventis U.S. LLC | 2 | $38 |
| Nevro Corp. | 1 | $27 |
| Medtronic | 1 | $24 |
| Baudax Bio Inc. | 1 | $24 |
| Amniox Medical, Inc. | 2 | $17 |
| Acera Surgical, Inc. | 1 | $14 |
| Amgen | 1 | $14 |
| Access Pro Medical, LLC | 1 | $11 |
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.
- Qutenza$9,446
- PURAPLY WOUND MATRIX$5,621
- Small Bone 5th Met Hook Plate, Midfoot T Plate, Jones Headless Screws$3,737
- Puraply Antimicrobial$3,121
- Affinity$2,440
- FuzeFix$1,638
- Apligraf$1,440
- NOVACHOR$1,440
- NuShield$1,440
- PolyLock Small Bone, PolyLock Midfoot, FuzeFix$738
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$314
- PROCLAIM$169
- Stravix$149
- PuraPly$125
- DISTAL EXTREMITIES IMPLANTS IB LIGAMENT AUGMENTATION OTHER$121
- EXT-Extremilock Foot$114
How this compares
$62,508 in reported general payments places this provider in the 95th percentile of 575 foot & ankle surgery providers in Pennsylvania.
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 | 34 | $200 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Bethel Park
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- Jason MillerMalvern$501K
- James SferraCranberry Township$451K
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.