Evan Breth, DPM
Foot Surgery · Brooklyn, NYNPI 1023097052
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.3%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. Osteomed LLC accounts for 87.9% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $12,161 and has fallen 98.7% since, to $164 in 2025. Among foot surgery clinicians in NY 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 74 payments — averaging $228.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Osteomed LLC$15K
- Acumed LLC$847
- Stryker$713
- Smith+Nephew$280
- Biocomposites Inc$164
- GSK$25
- plus $22 from 1 others
What the payments were for
- Consulting fees$8,17548%
- Speaking & faculty fees$4,25025%
- Travel & lodging$1,63610%
- Food & beverage$2,32414%
- Education$5073%
- Gifts$350%
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 |
|---|---|---|
| Osteomed LLC | 40 | $14,877 |
| Acumed LLC | 16 | $847 |
| Stryker(2 entities) | 7 | $713 |
| Smith+Nephew | 8 | $280 |
| Biocomposites Inc | 1 | $164 |
| GSK | 1 | $25 |
| Advanced Oxygen Therapy Inc. | 1 | $22 |
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.
- EXT-Other$7,625
- EXT-Extremilock Foot$4,449
- EXT-ExtremiLock Ankle$4,250
- EXT-ExtremiFix Midsize/Large$4,250
- EXT-Encompass$4,000
- Bio-Misc$1,775
- EXT-Cannulated$1,626
- EXT-Staple$1,500
- BIO-Osteovation (EXT)$1,375
- Forefoot/Midfoot Plating System$462
- Fibula Rod System$462
- Acutrak Headless Compression Screw System$462
- AUGMENT$387
- Stimulan$164
- CARTIVA$139
- Bio-Allograft Amnio$135
- Bio-Osteovation Allograft$125
- GRAFIX PL$124
- Oasis$124
- AUGMENT INJECTABLE$117
How this compares
$16,927 in reported general payments places this provider in the 95th percentile of 294 foot surgery providers in New York.
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 | 64 | $1,681 |
| Mometasone Furoate | 43 | $711 |
| Mupirocin | 70 | $445 |
| Cefadroxil | 44 | $347 |
| Ciclopirox | 19 | $288 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $232 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Brooklyn
- Lawrence SantiBrooklyn$25K
- Ilya ShnitserBrooklyn$11K
- Susan SchneidermesserBrooklyn$6K
- Vincent MelisoBrooklyn$6K
- Irina BelderBrooklyn$5K
- Leon StepenskyBrooklyn$4K
- Nicholas DangeloBrooklyn$4K
- Svetlana LuvishBrooklyn$4K
- Salvatore GaudinoBrooklyn$4K
- Paul LiswoodBrooklyn$4K
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.