David Orsini, MD
Foot and Ankle Surgery · Georgetown, TXNPI 1043502263
Payments from drug & device makers
Across 341 payments — averaging $61.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$17K
- Medinc Of Texas$2K
- Johnson & Johnson$675
- Ossur Americas, Inc.$651
- Paragon 28, Inc.$361
- Smith+Nephew$210
- plus $472 from 7 others
What the payments were for
- Travel & lodging$3,00314%
- Food & beverage$15,74175%
- Education$2,03210%
- Gifts$620%
- Other$1451%
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 |
|---|---|---|
| Stryker(2 entities) | 278 | $16,652 |
| Medinc Of Texas | 2 | $1,963 |
| Johnson & Johnson | 14 | $675 |
| Ossur Americas, Inc. | 27 | $651 |
| Paragon 28, Inc. | 5 | $361 |
| Smith+Nephew | 5 | $210 |
| Integra Lifesciences Corporation | 1 | $145 |
| Medtronic | 1 | $142 |
| Bioventus LLC | 3 | $109 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 2 | $29 |
| Abbott | 1 | $21 |
| Core Surgical Group | 1 | $19 |
| Saluda Medical Americas, Inc. | 1 | $6 |
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.
- AUGMENT INJECTABLE$2,173
- OMEGA$1,839
- HOFFMANN$1,589
- VARIAX$1,443
- INFINITY$1,384
- AXSOS$1,285
- GAMMA$1,285
- PROstep$1,105
- ORTHOLOC 2 LAPIFUSE$1,083
- SONICANCHOR$895
- CITREFIX$613
- MAKO$474
- SALVATION$429
- ORTHOLOC 3DI$376
- ORTHOLOC$370
- STAR$334
- 7 X 23MM CITRELOCK IMPLANT$324
- Actishield$307
- FLEXIBLE GUIDE PIN (STRYKER ACL VERSITOMIC)$174
- FIXOS$174
How this compares
$20,984 in reported general payments places this provider in the 80th 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 Hcl | 100 | $622 |
| Cefadroxil | 82 | $327 |
| Diclofenac Sodium | 11 | $309 |
| Gabapentin | 28 | $258 |
| Ondansetron Hcl | 58 | $233 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 25 | $222 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 25 | $95 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Georgetown
- Richard PollakSan Antonio$6.1M
- Joseph CaporussoMcAllen$6M
- Mark DaltonAustin$4.1M
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Chad HowzeSan Antonio$2.4M
- Graham HamiltonEdinburg$2.1M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$972K
- Mark RobsonAustin$957K
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.