Dean Singer, DPM
Foot & Ankle Surgery · Flint, MINPI 1972504918
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.4% of the total across 622 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 47 manufacturers, the largest accounting for just 16.6% — the pattern of someone who eats at a lot of different presentations. Among foot & ankle surgery clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 622 payments — averaging $28.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$3K
- Amgen$2K
- Stryker$2K
- Progenacare Global, LLC$2K
- Paratek Pharmaceuticals, Inc.$978
- Johnson & Johnson$957
- plus $7K from 41 others
What the payments were for
- Food & beverage$17,29298%
- Education$2812%
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.
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.
- Kerecis Omega3 Marigen$897
- Kerecis SurgiClose$594
- Stravix$543
- Senza$288
- Exogen Ultrasound Bone Healing System$271
- AUGMENT INJECTABLE$264
- N/A$263
- GRAFIX PL$263
- NUZYRA$250
- ACUMED$249
- Kerecis Omega3 SurgiClose$224
- Acufex Director$175
- ALLOMATRIX$149
- Kerecis GraftGuide$148
- NA$144
- ORTHOLOC 2 LAPIFUSE$141
- Bone Anchors with Arthroscopic Delivery System$139
- PICO 7$139
- RENASYS GO v2 HOME$139
- RENASYS TOUCH$139
How this compares
$17,573 in reported general payments places this provider in the 90th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Ketoconazole | 41 | $856 |
| Terbinafine Hcl | 22 | $477 |
| Pregabalin | 41 | $327 |
| Cephalexin | 33 | $157 |
| Meloxicam | 41 | $108 |
| Clindamycin Hcl | 13 | $99 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $89 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $88 |
| Doxycycline Hyclate | 12 | $75 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Flint
- Muhammed ShamimFlint$20K
- David TaylorFlint$16K
- Shawn ReiserFlint$15K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
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.