Herman Zarate
Foot Surgery · Takoma Park, MDNPI 1861445884
Payments from drug & device makers
What this record shows
This record is dominated by other: $52,982 of the $56,928 with a category attached, or 93.1%. Skye Orthobiologics LLC accounts for 93.1% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2024 at $53,263 and has fallen 98.0% since, to $1,074 in 2025. Among foot surgery clinicians in MD 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 167 payments — averaging $340.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skye Orthobiologics LLC$53K
- Trilliant Surgical LLC.$723
- Amgen$580
- AbbVie$517
- Paratek Pharmaceuticals, Inc.$377
- Stryker$239
- plus $2K from 20 others
What the payments were for
- Travel & lodging$7231%
- Food & beverage$3,2096%
- Education$140%
- Other$52,98293%
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 |
|---|---|---|
| Skye Orthobiologics LLC | 1 | $52,982 |
| Trilliant Surgical LLC. | 1 | $723 |
| Amgen(2 entities) | 27 | $580 |
| AbbVie | 37 | $517 |
| Paratek Pharmaceuticals, Inc. | 28 | $377 |
| Stryker(2 entities) | 13 | $239 |
| Tactile Systems Technology Inc | 10 | $209 |
| Melinta Therapeutics, LLC | 13 | $205 |
| Smith+Nephew | 11 | $188 |
| Cardiovascular Systems Inc. | 1 | $144 |
| Novastep Inc. | 1 | $142 |
| Organogenesis Inc. | 6 | $113 |
| Angiodynamics, Inc. | 1 | $77 |
| Treace Medical Concepts, Inc. | 1 | $71 |
| Integra Lifesciences Corporation | 1 | $68 |
| Kerecis Limited | 3 | $57 |
| Avita Medical Americas, LLC | 3 | $45 |
| Acera Surgical, Inc. | 1 | $44 |
| Boston Scientific | 1 | $34 |
| Alfasigma USA, Inc. | 1 | $22 |
| Medela LLC | 1 | $17 |
| Anika Therapeutics, Inc. | 1 | $17 |
| Vertex | 1 | $16 |
| Misonix Inc | 1 | $15 |
| Convatec Inc. | 1 | $14 |
| Biocomposites Inc | 1 | $11 |
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.
How this compares
$56,928 in reported general payments places this provider in the 95th percentile of 28 foot surgery providers in Maryland.
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 | 692 | $16,960 |
| Diclofenac Sodium | 165 | $4,475 |
| Ammonium Lactate | 99 | $2,416 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 46 | $453 |
| Terbinafine Hcl | 51 | $452 |
| Silver Sulfadiazine | 42 | $393 |
| Pregabalin | 15 | $236 |
| SsdSilver Sulfadiazine | 26 | $180 |
| Gabapentin | 14 | $177 |
| Ibuprofen | 16 | $165 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 24 | $144 |
| Naproxen | 12 | $126 |
| Tramadol Hcl | 22 | $123 |
| Prednisone | 22 | $62 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Takoma Park
- Jacob WynesBaltimore$214K
- Vesta McDowellBowie$39K
- Kiana TrentBaltimore$8K
- Ronald ShermanBaltimore$7K
- Aaron LewisLandover$3K
- Johny MotranHyattsville$3K
- Neil OhoraOlney$2K
- Mitchell BarberLaurel$1K
- Mark LevyRockville$1K
- Darlyne CangeGlen Burnie$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.