Howard Kashefsky, DPM
Podiatrist · Durham, NCNPI 1326158494
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $6,900 of the $7,646 with a category attached, or 90.2%. Smith+Nephew accounts for 90.7% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $7,392 and has fallen 97.6% since, to $181 in 2025.
Across 11 payments — averaging $695.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$7K
- Southtech Orthopedics$304
- Tactile Systems Technology Inc$189
- Integra Lifesciences Corporation$175
- Reapplix Inc.$23
- Nevro Corp.$17
- plus $6 from 1 others
What the payments were for
- Consulting fees$6,90090%
- Food & beverage$4396%
- Education$3074%
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 |
|---|---|---|
| Smith+Nephew | 4 | $6,933 |
| Southtech Orthopedics | 2 | $304 |
| Tactile Systems Technology Inc | 1 | $189 |
| Integra Lifesciences Corporation | 1 | $175 |
| Reapplix Inc. | 1 | $23 |
| Nevro Corp. | 1 | $17 |
| Lifenet Health | 1 | $6 |
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.
- GrafixPL$6,900
- INTEGRA$525
- FLEXITOUCH$189
- ACTITOUCH$189
- ENTRE$189
- INTEGRA DERMAL REGENERATION TEMPLATE$175
- PRIMATRIX$175
How this compares
$7,646 in reported general payments places this provider in the 85th percentile of 109 podiatrist providers in North Carolina.
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 |
|---|---|---|
| Ammonium Lactate | 32 | $613 |
| Ciclopirox | 15 | $451 |
| Doxycycline Hyclate | 33 | $229 |
| Ketoconazole | 32 | $211 |
| Cephalexin | 13 | $103 |
| Mupirocin | 12 | $62 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Durham
- Prayashkumar PatelDurham$3K
- Jordan MeyersRaleigh$343K
- Christopher GaulandGreenville$56K
- Scott MartinRocky Mount$14K
- Gretchen LawrenceForest City$12K
- William WeilyCharlotte$11K
- Kristin KirbyHuntersville$10K
- Robert PrzynoschWaynesville$9K
- William BanksWaynesville$9K
- Emily LobosAsheville$9K
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.