Girish Nair
Foot & Ankle Surgery · Toms River, NJNPI 1518188606
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $40,670 of the $59,676 with a category attached, or 68.2%. Organogenesis Inc. accounts for 80.6% of it on its own, with 43 other manufacturers making up the rest. Reporting peaked in 2019 at $24,300 and has fallen 83.6% since, to $3,992 in 2025. Among foot & ankle surgery clinicians in NJ 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 347 payments — averaging $171.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$48K
- Kerecis Limited$2K
- Integra Lifesciences Corporation$2K
- Biotissue Holdings Inc.$774
- Smith+Nephew$766
- AbbVie$663
- plus $5K from 38 others
Across 1 payment — averaging $2400.00 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.
- Musculoskeletal Transplant Foundation Inc.$2K
What the payments were for
- Consulting fees$4,6258%
- Speaking & faculty fees$40,67068%
- Travel & lodging$2,9185%
- Food & beverage$11,46319%
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.
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.
- Apligraf$29,061
- Dermagraft$22,373
- Puraply/Affinity/NuTech$22,373
- PuraPly$10,466
- Affinity$5,273
- Kerecis SurgiClose$4,959
- INTEGRA$4,606
- NuShield$1,855
- PURAPLY WOUND MATRIX$1,828
- Puraply Antimicrobial$1,800
- NOVACHOR$1,680
- Kerecis GraftGuide$1,240
- INTEGRA DERMAL REGENERATION TEMPLATE$1,211
- PRIMATRIX$1,211
- Kerecis Omega3 SurgiClose$1,060
- Kerecis Omega3 Marigen$1,040
- VAC VERAFLO$500
- Kerecis Omega3 GraftGuide$383
- KRYSTEXXA$246
- PROCLAIM$215
How this compares
$59,676 in reported general payments places this provider in the 95th percentile of 542 foot & ankle surgery providers in New Jersey.
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 |
|---|---|---|
| Triamcinolone Acetonide | 91 | $1,474 |
| Doxycycline Hyclate | 114 | $1,193 |
| Gentamicin Sulfate | 16 | $480 |
| Nystatin | 26 | $358 |
| Gabapentin | 19 | $338 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 36 | $322 |
| Mupirocin | 24 | $198 |
| Levofloxacin | 22 | $131 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $82 |
| Methylprednisolone | 13 | $62 |
| Tramadol Hcl | 28 | $57 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Toms River
- Matthew RegulskiToms River$843K
- Frederick RothbergToms River$61K
- Avik MukherjeeToms River$13K
- John CozzarelliBelleville$932K
- Michael SubikLyndhurst$529K
- Krupa PatelMorris Plains$281K
- Johanna GodoyWayne$254K
- Andrew BriefRidgewood$253K
- Mark SolomonCedar Knolls$232K
- Evan AdlerOld Bridge$195K
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.