Gary Lam, DPM
Foot & Ankle Surgery · San Francisco, CANPI 1588996557
Payments from drug & device makers
Across 23 payments — averaging $112.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$2K
- Amgen$247
- Musculoskeletal Transplant Foundation Inc.$189
- Crossroads Extremity Systems, LLC$152
- Organogenesis Inc.$142
- Biotissue Holdings Inc.$116
- plus $240 from 3 others
What the payments were for
- Travel & lodging$72228%
- Food & beverage$1,87472%
- Education$10%
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 | $1,511 |
| Amgen(2 entities) | 2 | $247 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $189 |
| Crossroads Extremity Systems, LLC | 1 | $152 |
| Organogenesis Inc. | 2 | $142 |
| Biotissue Holdings Inc. | 1 | $116 |
| Smith+Nephew | 2 | $113 |
| Cardiovascular Systems Inc. | 1 | $96 |
| Bioventus LLC | 1 | $31 |
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$1,208
- KRYSTEXXA$247
- Medical Implant$152
- Puraply Antimicrobial$125
- NEOX$116
- REGRANEX$112
How this compares
$2,597 in reported general payments places this provider in the 55th percentile of 1,126 foot & ankle surgery providers in California.
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 |
|---|---|---|
| JubliaEfinaconazole | 17 | $12,731 |
| CiclopiroxCiclopirox Olamine | 293 | $4,943 |
| Clotrimazole | 107 | $2,991 |
| Ammonium Lactate | 83 | $1,610 |
| Diclofenac Sodium | 27 | $395 |
| Ciclopirox | 11 | $230 |
| Gabapentin | 32 | $180 |
| Triamcinolone Acetonide | 27 | $137 |
| Doxycycline Hyclate | 18 | $77 |
| Meloxicam | 25 | $25 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in San Francisco
- Michael CoughlinSan Francisco$1.6M
- Tracey VlahovicSan Francisco$313K
- John SchuberthSan Francisco$242K
- Charles ParksSan Francisco$225K
- Mher VartivarianSan Francisco$114K
- Colin TraynorSan Francisco$75K
- John ZimmermanBakersfield$4.6M
- Eric GizaSacramento$3.7M
- Thomas HarrisPasadena$3M
- Felix SigalLos Angeles$2.2M
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.