Ethan Pais, DPM
Foot & Ankle Surgery · Cranston, RINPI 1477118495
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,825 of the $3,387 with a category attached, or 83.4%. 29 manufacturers reported payments, led by Stryker at 25.6% of the total. Reporting peaked in 2022 at $1,327 and has fallen 65.5% since, to $457 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in RI, where the typical reported total is $3,840.
Across 78 payments — averaging $43.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$867
- Smith+Nephew$416
- Acumed LLC$226
- Vaporox, Inc.$198
- Medtronic$196
- Integra Lifesciences Corporation$181
- plus $1K from 23 others
What the payments were for
- Travel & lodging$56117%
- Food & beverage$2,82583%
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 | 5 | $867 |
| Smith+Nephew | 7 | $416 |
| Acumed LLC | 5 | $226 |
| Vaporox, Inc. | 1 | $198 |
| Medtronic | 5 | $196 |
| Integra Lifesciences Corporation | 3 | $181 |
| Bioventus LLC | 5 | $148 |
| Paratek Pharmaceuticals, Inc. | 7 | $123 |
| ANI Pharmaceuticals, Inc. | 5 | $104 |
| Tactile Systems Technology Inc | 2 | $100 |
| Dynasplint Systems Inc. | 1 | $84 |
| Nevro Corp. | 3 | $81 |
| IBSA Pharma Inc. | 4 | $79 |
| Shockwave Medical, Inc | 1 | $71 |
| Kerecis Limited | 2 | $68 |
| Orthofix Medical, Inc. | 3 | $63 |
| Averitas Pharma Inc. | 2 | $56 |
| Treace Medical Concepts, Inc. | 2 | $53 |
| Sebela Pharmaceuticals Inc. | 3 | $42 |
| Bone Support Inc. | 1 | $41 |
| Amgen | 2 | $38 |
| Kowa Pharmaceuticals America, Inc. | 2 | $31 |
| Mimedx Group, Inc. | 1 | $23 |
| Paragon 28, Inc. | 1 | $21 |
| Kairos Surgical Inc | 1 | $18 |
| Lifenet Health | 1 | $16 |
| Reprise Biomedical, Inc. | 1 | $16 |
| EBI, LLC | 1 | $14 |
| KCI USA, Inc. | 1 | $14 |
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.
- PROstep$671
- INTEGRA$412
- OsteoMed$201
- VHT-200 Wound Treatment System$198
- Panta 2$149
- SPATIAL FRAME$149
- INTEGRA DERMAL REGENERATION TEMPLATE$137
- PRIMATRIX$137
- ACUMED$101
- GRAFIX PL$100
- Stravix$100
How this compares
$3,387 in reported general payments places this provider in the 45th percentile of 58 foot & ankle surgery providers in Rhode Island.
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 |
|---|---|---|
| Prednisone | 13 | $20 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Cranston
- Victoria LellisCranston$8K
- Nathalia DoobayCranston$6K
- John VolpeCranston$4K
- Sara Granoff-SchorCranston$48
- Christopher DigiovanniProvidence$665K
- Anthony MechrefeWarwick$92K
- Douglas GlodEast Providence$74K
- Matthew LawrencePawtucket$38K
- Michal SzparaPawtucket$37K
- Michael ReuterBristol$34K
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.