James Zaccaria, DPM
Foot & Ankle Surgery · Bryn Mawr, PANPI 1194708149
Payments from drug & device makers
Across 167 payments — averaging $34.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Smith+Nephew$901
- Organogenesis Inc.$628
- Next Science LLC$553
- Averitas Pharma Inc.$518
- Kerecis Limited$495
- plus $1K from 27 others
Across 5 payments — averaging $348.24 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.$2K
What the payments were for
- Consulting fees$531%
- Food & beverage$5,62699%
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 |
|---|---|---|
| Stryker(2 entities) | 17 | $1,263 |
| Smith+Nephew | 38 | $901 |
| Organogenesis Inc. | 16 | $628 |
| Next Science LLC | 8 | $553 |
| Averitas Pharma Inc. | 29 | $518 |
| Kerecis Limited | 10 | $495 |
| Musculoskeletal Transplant Foundation Inc. | 5 | $220 |
| Treace Medical Concepts, Inc. | 5 | $169 |
| Stability Biologics, LLC | 1 | $135 |
| Paragon 28, Inc. | 3 | $87 |
| Solventum Corporation | 3 | $70 |
| GRT US Holding, Inc. | 3 | $63 |
| Johnson & Johnson | 2 | $62 |
| Integra Lifesciences Corporation | 2 | $57 |
| Resmed Corp | 3 | $50 |
| Paratek Pharmaceuticals, Inc. | 2 | $43 |
| Nevro Corp. | 2 | $34 |
| Reapplix Inc. | 1 | $33 |
| Orthofix Medical, Inc. | 2 | $31 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $30 |
| Medline Industries LP | 1 | $27 |
| AbbVie | 1 | $24 |
| Lifenet Health | 1 | $22 |
| Convatec Inc. | 1 | $21 |
| Reddress USA, Inc. | 1 | $19 |
| Vertex | 1 | $18 |
| KCI USA, Inc. | 1 | $18 |
| Zimmer Biomet | 1 | $17 |
| IBSA Pharma Inc. | 1 | $17 |
| Acumed LLC | 1 | $15 |
| Anika Therapeutics, Inc. | 1 | $13 |
| Sebela Pharmaceuticals Inc. | 1 | $12 |
| Merck | 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.
- Kerecis SurgiClose$595
- ORTHOLOC 3DI$328
- AUGMENT INJECTABLE$312
- TISSUEMEND$305
- SurgX$296
- Xperience$296
- BlastX$296
- GRAFIX PL$289
- Stravix$289
- Kerecis GraftGuide$149
- CITREFIX$149
- Oasis$146
- Affinity$129
How this compares
$5,679 in reported general payments places this provider in the 70th percentile of 575 foot & 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 |
|---|---|---|
| Duloxetine Hcl | 14 | $1,449 |
| Ketoconazole | 34 | $868 |
| Gabapentin | 99 | $766 |
| Clobetasol Propionate | 13 | $619 |
| Pregabalin | 21 | $590 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $355 |
| Doxycycline Hyclate | 30 | $270 |
| Cephalexin | 13 | $220 |
| Methylprednisolone | 31 | $173 |
| Nystatin | 11 | $128 |
| Ciprofloxacin Hcl | 16 | $77 |
| Tramadol Hcl | 23 | $67 |
| Triamcinolone Acetonide | 11 | $52 |
| Furosemide | 14 | $29 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Bryn Mawr
- David PedowitzBryn Mawr$1.7M
- Marc BaerBryn Mawr$23K
- William DecarboBelle Vernon$3.5M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Jason MillerMalvern$551K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
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.