Jeffrey Noroyan
Foot & Ankle Surgery · Flint, MINPI 1316950660
Payments from drug & device makers
Across 284 payments — averaging $24.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$2K
- Smith+Nephew$1K
- Inari Medical, Inc.$434
- Stryker$419
- Bioventus LLC$378
- Cardiovascular Systems Inc.$312
- plus $2K from 26 others
What the payments were for
- Food & beverage$6,78198%
- Education$1332%
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 |
|---|---|---|
| Amgen(2 entities) | 119 | $1,913 |
| Smith+Nephew | 69 | $1,199 |
| Inari Medical, Inc. | 4 | $434 |
| Stryker(2 entities) | 7 | $419 |
| Bioventus LLC | 5 | $378 |
| Cardiovascular Systems Inc. | 5 | $312 |
| AbbVie | 13 | $292 |
| Johnson & Johnson | 2 | $263 |
| Progenacare Global, LLC | 2 | $239 |
| Melinta Therapeutics, LLC | 15 | $184 |
| Paratek Pharmaceuticals, Inc. | 9 | $155 |
| Cordis US CORP. | 1 | $125 |
| Heron Therapeutics, Inc. | 1 | $122 |
| Alafair Biosciences, Inc. | 1 | $107 |
| Osteomed LLC | 1 | $106 |
| Mimedx Group, Inc. | 1 | $95 |
| Vertex | 3 | $69 |
| Cashflow Solutions, LLC | 7 | $68 |
| Hydrofera LLC | 2 | $52 |
| Innovation Technologies Inc | 1 | $48 |
| Organogenesis Inc. | 2 | $43 |
| Reflow Medical Inc | 1 | $43 |
| Kerecis Limited | 1 | $42 |
| Convatec Inc. | 2 | $39 |
| Novo Nordisk | 2 | $31 |
| GRT US Holding, Inc. | 2 | $29 |
| Otto Bock Healthcare LP | 1 | $28 |
| Treace Medical Concepts, Inc. | 1 | $26 |
| Aroa Biosurgery Incorporated | 1 | $20 |
| Arthrosurface Incorporated | 1 | $14 |
| Medtronic | 1 | $13 |
| Linvatec 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.
- RAYOS$375
- KRYSTEXXA$358
- FLOWTRIEVER CATHETER, S$326
- CT THROMBECTOMY SYSTEM KIT$326
- Exogen Ultrasound Bone Healing System$317
- N/A$263
- Actishield$136
- Stravix$131
- GRAFIX PL$126
- RAIN SHEATH$125
- HAMMERLOCK$125
- Zynrelef$122
- VersaWrap$107
- EXT-ExtremiLock Ankle$106
How this compares
$6,915 in reported general payments places this provider in the 70th percentile of 384 foot & ankle surgery providers in Michigan.
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 | 20 | $785 |
| Colchicine | 22 | $749 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 35 | $640 |
| Meloxicam | 167 | $544 |
| Ciprofloxacin Hcl | 70 | $415 |
| Methylprednisolone | 66 | $352 |
| Terbinafine Hcl | 14 | $202 |
| Hydrocortisone | 21 | $200 |
| Ammonium Lactate | 11 | $100 |
| Cephalexin | 16 | $72 |
| Clindamycin Hcl | 13 | $63 |
| Gabapentin | 14 | $55 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Flint
- Muhammed ShamimFlint$20K
- Dean SingerFlint$18K
- David TaylorFlint$16K
- Shawn ReiserFlint$15K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$893K
- Karl DunnClinton Twp$434K
- John MaskillGrand Rapids$424K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
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.