Douglas Pacaccio, DPM
Foot & Ankle Surgery · Rockford, ILNPI 1013005867
Payments from drug & device makers
Across 722 payments — averaging $5889.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medshape, Inc.$3.6M
- Stryker$387K
- Restor3d, Inc.$112K
- Merete Technologies, Inc$73K
- Fusion Orthopedics USA, LLC$13K
- Trilliant Surgical LLC.$7K
- plus $10K from 30 others
What the payments were for
- Royalty or licence$26,7201%
- Consulting fees$482,54712%
- Speaking & faculty fees$1,3130%
- Travel & lodging$44,1971%
- Food & beverage$23,6441%
- Education$140%
- Other$3,569,67686%
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 |
|---|---|---|
| Medshape, Inc. | 107 | $3,649,481 |
| Stryker(2 entities) | 435 | $387,064 |
| Restor3d, Inc. | 10 | $112,291 |
| Merete Technologies, Inc | 44 | $73,323 |
| Fusion Orthopedics USA, LLC | 12 | $13,403 |
| Trilliant Surgical LLC. | 7 | $7,134 |
| Biotissue Holdings Inc. | 3 | $1,946 |
| Paragon 28, Inc. | 5 | $1,506 |
| Artivion, Inc. | 1 | $1,313 |
| Surgenex LLC | 8 | $758 |
| Kerecis Limited | 5 | $711 |
| Orthofix Medical, Inc. | 15 | $477 |
| Medline Industries LP | 5 | $436 |
| Linvatec Corporation | 5 | $377 |
| Bone Support Inc. | 8 | $325 |
| Novastep Inc. | 3 | $291 |
| Acera Surgical, Inc. | 8 | $285 |
| Treace Medical Concepts, Inc. | 1 | $226 |
| RMR Ortho Inc | 2 | $159 |
| Amniox Medical, Inc. | 2 | $112 |
| Imbed Biosciences Inc. | 11 | $107 |
| Encore Medical, LP | 1 | $102 |
| Oxford Performance Materials, Inc. | 1 | $100 |
| Bonalive Inc | 2 | $80 |
| Axogen | 4 | $76 |
| Integra Lifesciences Corporation | 2 | $67 |
| Sanara Medtech Inc. | 3 | $58 |
| Melinta Therapeutics, LLC | 2 | $47 |
| DJO, LLC | 1 | $37 |
| Vertex | 2 | $35 |
| Paratek Pharmaceuticals, Inc. | 2 | $34 |
| Medela LLC | 1 | $26 |
| Mimedx Group, Inc. | 1 | $24 |
| Johnson & Johnson | 1 | $21 |
| Osteomed LLC | 1 | $14 |
| Innovation Technologies Inc | 1 | $13 |
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.
- HOFFMANN$200,013
- DynaNail$71,984
- PROstep$69,879
- SALVATION$65,040
- ORTHOLOC 2 LAPIFUSE$59,315
- INFINITY$42,219
- STAR$25,928
- VARIAX$22,354
- DynaNail Helix, Washer, 15 mm$20,831
- FIXOS$15,250
- BIO4$14,774
- T2$13,698
- PROPHECY$12,814
- AXSOS$11,645
- ORTHOLOC 3DI$9,789
- DynaNail Mini$8,125
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$7,625
- 7 X 23MM CITRELOCK IMPLANT$7,046
- Trilliant Arsenal Plating System$6,814
- HYDROSET$6,588
How this compares
$4,252,458 in reported general payments places this provider in the 95th percentile of 555 foot & ankle surgery providers in Illinois.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $392 |
| Tramadol Hcl | 33 | $101 |
| Methylprednisolone | 17 | $73 |
| Meloxicam | 30 | $54 |
| Cefadroxil | 20 | $54 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $25 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Rockford
- Anand VoraLibertyville$3.2M
- Lowell WeilMount Prospect$2.4M
- Matthew SorensenAlgonquin$1.1M
- Edgardo Rodriguez CollazoChicago$755K
- David GarrasOrland Park$658K
- Patrick McEneaneyCary$586K
- Brian BurgessNaperville$496K
- Kyle PearsonMorris$208K
- Stephanie OexemanChicago$206K
- Narendra PatelSchaumburg$180K
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.