Jessica Bruno, DPM
Foot & Ankle Surgery · Chesapeake, VANPI 1497252910
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $10,626 of the $16,725 with a category attached, or 63.5%. It is spread thinly across 27 manufacturers, the largest accounting for just 22.6%. Reporting peaked in 2021 at $4,727 and has fallen 50.4% since, to $2,344 in 2025.
Across 180 payments — averaging $92.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$4K
- Stryker$4K
- Fortis Surgical, LLC$4K
- Kerecis Limited$2K
- Lifenet Health$834
- Smith+Nephew$393
- plus $3K from 21 others
What the payments were for
- Travel & lodging$2,21213%
- Food & beverage$10,62664%
- Education$3,88723%
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 |
|---|---|---|
| Arthrex | 19 | $3,788 |
| Stryker | 55 | $3,616 |
| Fortis Surgical, LLC | 23 | $3,544 |
| Kerecis Limited | 11 | $1,533 |
| Lifenet Health | 21 | $834 |
| Smith+Nephew | 5 | $393 |
| Convatec Inc. | 5 | $302 |
| Bioventus LLC | 8 | $284 |
| Paragon 28, Inc. | 3 | $279 |
| In2bones USA, LLC | 3 | $214 |
| Linvatec Corporation | 2 | $179 |
| Integra Lifesciences Corporation | 2 | $171 |
| AbbVie(2 entities) | 4 | $170 |
| Ossio Inc | 1 | $155 |
| Sanara Medtech Inc. | 1 | $149 |
| Anika Therapeutics, Inc. | 1 | $146 |
| Access Pro Medical, LLC | 1 | $145 |
| Flower Orthopedics Coporation | 1 | $143 |
| Amgen | 1 | $125 |
| Innovation Technologies Inc | 2 | $123 |
| Paratek Pharmaceuticals, Inc. | 1 | $122 |
| Johnson & Johnson | 2 | $109 |
| Organogenesis Inc. | 2 | $92 |
| Novo Nordisk | 3 | $51 |
| Phadia US Inc. | 1 | $26 |
| Heron Therapeutics, Inc. | 1 | $17 |
| Boehringer Ingelheim | 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.
- Kerecis Omega3 Marigen$2,542
- Kerecis Omega3 SurgiClose$1,449
- Kerecis SurgiClose$917
- Kerecis Omega3 GraftGuide$848
- VARIAX$689
- INTEGRA$462
- HOFFMANN$422
- T2$315
- CITREFIX$291
- TheraGenesis Wound Matrix$288
- ASNIS$284
- ORTHOLOC 3DI$270
- EASYFUSE$257
- InnovaMatrix AC$249
- PROstep$240
- Kerecis GraftGuide$229
- Kerecis Omega3 Wound$201
- Kerecis Omega3 Surgibind$201
- PINPOINT$166
- PROSTEP MICA$156
How this compares
$16,725 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| Ciclopirox | 38 | $511 |
| Ketoconazole | 24 | $262 |
| Cephalexin | 14 | $48 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Chesapeake
- Bryan ScottChesapeake$15K
- Rex DiazChesapeake$12K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
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.