Frank Vargo
Foot Surgery · Medina, OHNPI 1659373496
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,247 of the $1,714 with a category attached, or 72.7%. 16 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 40.5% of the total. Reporting peaked in 2019 at $1,059 and has fallen 96.2% since, to $40 in 2025.
Across 52 payments — averaging $32.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$694
- Amgen$286
- Stryker$208
- Teva Pharmaceuticals USA, Inc.$185
- Paratek Pharmaceuticals, Inc.$88
- Pfizer$35
- plus $219 from 10 others
What the payments were for
- Travel & lodging$45126%
- Food & beverage$1,24773%
- Education$161%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 12 | $694 |
| Amgen | 5 | $286 |
| Stryker(2 entities) | 7 | $208 |
| Teva Pharmaceuticals USA, Inc. | 7 | $185 |
| Paratek Pharmaceuticals, Inc. | 5 | $88 |
| Pfizer | 2 | $35 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $34 |
| Bioventus LLC | 2 | $29 |
| Zyla Life Sciences, Inc. | 2 | $28 |
| Nevro Corp. | 2 | $28 |
| Tactile Systems Technology Inc | 1 | $23 |
| Convatec Inc. | 1 | $20 |
| Triad Life Sciences Inc. | 1 | $15 |
| Checkpoint Surgical, Inc | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $14 |
| Sandoz | 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.
- Lapiplasty System$396
- KRYSTEXXA$125
How this compares
$1,714 in reported general payments places this provider in the 70th percentile of 28 foot surgery providers in Ohio.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 72 | $1,230 |
| Mupirocin | 26 | $166 |
| Cephalexin | 23 | $158 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Medina
- Maggi SmithToledo$12K
- Trenton LeoMansfield$10K
- Georgeanne BotekCleveland$9K
- Richard KunigFairlawn$6K
- Gina HildStrongsville$3K
- John FetzerAkron$3K
- Darrell BallingerCenterville$2K
- Priyanka MudeNorth Canton$2K
- Christopher BohachWillard$1K
- Caren AramouniCuyahoga Falls$1K
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.