Ivan Rubiano, DPM
Foot & Ankle Surgery · Roanoke, VANPI 1689020703
Payments from drug & device makers
Across 110 payments — averaging $51.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$2K
- Stryker$871
- Medical Device Business Services, Inc.$838
- RTI Surgical, Inc$500
- Nevro Corp.$235
- Zimmer Biomet$170
- plus $2K from 24 others
Across 17 payments — averaging $10,220 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.
- Polarityte, Inc.$174K
What the payments were for
- Consulting fees$5009%
- Travel & lodging$79414%
- Food & beverage$4,36376%
- Education$70%
- Entertainment$401%
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 |
|---|---|---|
| Johnson & Johnson | 20 | $1,567 |
| Stryker | 10 | $871 |
| Medical Device Business Services, Inc. | 4 | $838 |
| RTI Surgical, Inc | 1 | $500 |
| Nevro Corp. | 4 | $235 |
| Zimmer Biomet | 3 | $170 |
| Paratek Pharmaceuticals, Inc. | 9 | $164 |
| Amgen(2 entities) | 6 | $157 |
| ANI Pharmaceuticals, Inc. | 7 | $156 |
| Medtronic | 6 | $146 |
| Smith+Nephew | 7 | $133 |
| Kerecis Limited | 2 | $98 |
| Bioventus LLC | 5 | $90 |
| Vertex | 3 | $81 |
| Lifenet Health | 2 | $62 |
| Convatec Inc. | 2 | $52 |
| Solventum Corporation | 2 | $48 |
| Globus Medical | 2 | $46 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $40 |
| AbbVie | 2 | $39 |
| Abbott | 2 | $35 |
| Organogenesis Inc. | 1 | $29 |
| Next Science LLC | 1 | $25 |
| KCI USA, Inc. | 1 | $23 |
| Tactile Systems Technology Inc | 1 | $23 |
| Biocomposites Inc | 1 | $19 |
| Fidia Pharma USA Inc. | 1 | $17 |
| Pfizer | 1 | $15 |
| Baxter Healthcare | 1 | $14 |
| Boston Scientific | 1 | $14 |
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.
- VA-LCP PLATES & SCREWS$794
- Dermineralized Bone Fibers (DBF)$500
- NA$432
- MOTOBAND$425
- Vivigen MIS Delivery System$284
- FIBERGRAFT Aeridyan Matrix$284
- ALLOGRAFT$250
- HAMMERLOCK$235
- VARIAX$152
- Omnia$149
- MINIBUNION$144
- N/A$133
- VA-LCP$121
- Fibulink$114
- ANCHORAGE$104
How this compares
$5,704 in reported general payments places this provider in the 60th percentile of 260 foot & ankle surgery providers in Virginia.
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 | 167 | $4,047 |
| Gabapentin | 56 | $561 |
| Doxycycline Hyclate | 48 | $460 |
| Diclofenac Sodium | 12 | $377 |
| Methylprednisolone | 35 | $188 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $150 |
| Meloxicam | 60 | $149 |
| Zonisamide | 11 | $144 |
| Cephalexin | 11 | $132 |
| Mupirocin | 13 | $70 |
| Ciprofloxacin Hcl | 16 | $64 |
| Tramadol Hcl | 11 | $46 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Roanoke
- Charles ZelenRoanoke$6.2M
- Nathan YoungRoanoke$24K
- Wesley LeongRoanoke$23K
- Jennifer WentzRoanoke$12K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$1.2M
- Matthew DairmanSuffolk$376K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
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.