James Lachman, MD
Foot and Ankle Surgery · Quakertown, PANPI 1841553278
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $95,141 of the $130,216 with a category attached, or 73.1%. Exactech, Inc. accounts for 78.9% of it on its own, with 7 other manufacturers making up the rest. 2025 is the largest year on record at $56,639, more than ten times the $3,192 reported in 2019. Among foot and ankle surgery clinicians in PA 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 173 payments — averaging $752.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Exactech, Inc.$103K
- Stryker$23K
- Arthrex$2K
- Advita Ortho, LLC$2K
- Medline Industries LP$400
- Novus Surgical Consultants$189
- plus $83 from 2 others
What the payments were for
- Royalty or licence$12,69810%
- Consulting fees$95,14173%
- Speaking & faculty fees$2,0002%
- Travel & lodging$10,2178%
- Food & beverage$9,8108%
- Gifts$3500%
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 |
|---|---|---|
| Exactech, Inc. | 91 | $102,793 |
| Stryker(2 entities) | 69 | $22,776 |
| Arthrex | 2 | $2,015 |
| Advita Ortho, LLC | 2 | $1,960 |
| Medline Industries LP | 3 | $400 |
| Novus Surgical Consultants | 4 | $189 |
| Paragon 28, Inc. | 1 | $72 |
| Integra Lifesciences Corporation | 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.
- VANTAGE$97,681
- INFINITY$16,004
- PROPHECY$9,560
- INVISION$4,725
- INBONE$3,435
- SURPASS EVOLVE$3,325
- 7 X 23MM CITRELOCK IMPLANT$2,100
- EPIC FOOT PLATE SYSTEM$1,870
- EQUINOXE$1,406
- PROstep$534
- AUGMENT INJECTABLE$491
- INFINITY ADAPTIS$438
- HOFFMANN$404
- ALLOWRAP$390
- REUNION$175
- VARIAX$143
- FLEXBAND$143
- ORTHOLOC 2 LAPIFUSE$122
How this compares
$130,216 in reported general payments places this provider in the 95th percentile of 575 foot and ankle surgery providers in Pennsylvania.
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 |
|---|---|---|
| Amoxicillin | 24 | $35 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Quakertown
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- Jason MillerMalvern$501K
- James SferraCranberry Township$451K
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.