Ettore Vulcano, MD
Foot and Ankle Surgery · Miami Beach, FLNPI 1689070906
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (59.4%), royalties or licence payments and travel and lodging — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 56.7% of the total. 2025 is the largest year on record at $177,429, more than ten times the $895 reported in 2019. Among foot and ankle surgery clinicians in FL 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 326 payments — averaging $1261.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$233K
- Novastep Inc.$82K
- Vilex LLC$71K
- Stryker$24K
- Gotham Surgical Solutions & Devices, Inc.$895
- Orthofix Medical, Inc.$127
- plus $185 from 5 others
Across 29 payments — averaging $76.27 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$2K
Across 6 payments — averaging $857.83 each. An ownership or investment interest held by the physician or an immediate family member.
- Curvebeam LLC$5K
What the payments were for
- Royalty or licence$76,49419%
- Consulting fees$244,07159%
- Speaking & faculty fees$20,6285%
- Travel & lodging$63,88016%
- Food & beverage$5,2621%
- Education$8950%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 170 | $233,344 |
| Novastep Inc. | 67 | $81,767 |
| Vilex LLC | 58 | $70,876 |
| Stryker(2 entities) | 21 | $24,035 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $895 |
| Orthofix Medical, Inc. | 2 | $127 |
| Vericel Corporation | 2 | $50 |
| Embody, Inc. | 1 | $41 |
| KCI USA, Inc. | 2 | $38 |
| Zimmer Biomet | 1 | $37 |
| Johnson & Johnson | 1 | $20 |
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.
- LAPIPLASTY SYSTEM 1$144,745
- Lapiplasty System$82,511
- PECA Bunion Correction System$41,934
- PECAPLASTY$28,849
- R&D Foot and Ankle$20,628
- ZADEX$16,575
- NITINEX$14,664
- Artemis Zadex$13,882
- Staple F&A Fixation$7,209
- CENTROLOCK MIS Bunion Correction$6,615
- HINTERMANN$6,364
- RD Staple P1$6,330
- PROstep$3,099
- PECA-C Compressive Implants$2,771
- ARTEMIS Calc Slide - R&D$2,587
- Artemis$2,338
- TMC NANOPLASTY SYSTEM$2,138
- FUSIONFRAME Ring Lock Circular Fixator$807
- PERCUPLASTY TRAY$731
- Lapiplasty$413
How this compares
$411,230 in reported general payments places this provider in the 95th percentile of 850 foot and ankle surgery providers in Florida.
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 |
|---|---|---|
| Gabapentin | 117 | $1,127 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 128 | $1,055 |
| Ibuprofen | 132 | $214 |
| Meloxicam | 48 | $210 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Miami Beach
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
- Rafael LappostMiami Lakes$319K
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.