John Marcoux, DPM
Foot & Ankle Surgery · Brighton, MANPI 1831285972
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.4%), education and consulting fees — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Kairos Surgical Inc at 28.4% of the total. Reporting peaked in 2022 at $3,633 and has fallen 79.3% since, to $753 in 2025. Among foot & ankle surgery clinicians in MA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 124 payments — averaging $103.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kairos Surgical Inc$4K
- Ossio Inc$2K
- Stryker$1K
- Smith+Nephew$915
- Arthrosurface Incorporated$904
- Bone Support Inc.$812
- plus $4K from 22 others
What the payments were for
- Royalty or licence$1,0238%
- Consulting fees$2,07516%
- Speaking & faculty fees$1191%
- Travel & lodging$630%
- Food & beverage$5,81745%
- Education$3,72529%
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 |
|---|---|---|
| Kairos Surgical Inc | 6 | $3,641 |
| Ossio Inc | 6 | $1,960 |
| Stryker(2 entities) | 15 | $1,047 |
| Smith+Nephew | 28 | $915 |
| Arthrosurface Incorporated | 7 | $904 |
| Bone Support Inc. | 5 | $812 |
| Integra Lifesciences Corporation | 14 | $712 |
| Organogenesis Inc. | 8 | $526 |
| Lifenet Health | 3 | $390 |
| International Life Sciences | 1 | $304 |
| Celularity Inc. | 3 | $300 |
| Treace Medical Concepts, Inc. | 5 | $252 |
| Medartis Inc. | 2 | $154 |
| Trilliant Surgical LLC. | 1 | $132 |
| Geistlich Pharma, North America, Inc. | 2 | $122 |
| Anika Therapeutics, Inc. | 4 | $120 |
| Paragon 28, Inc. | 1 | $112 |
| Kerecis Limited | 1 | $104 |
| Averitas Pharma Inc. | 1 | $58 |
| Zimmer Biomet | 2 | $51 |
| Bioventus LLC | 1 | $41 |
| Derma Sciences, Inc. | 2 | $37 |
| Axogen | 1 | $35 |
| Aroa Biosurgery Incorporated | 1 | $29 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $25 |
| Extremity Medical | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
| Orthofix Medical, Inc. | 1 | $7 |
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.
- CERAMENTBONE VOID FILLER$725
- INTEGRA$433
- TheraGenesis Wound Matrix$390
- OsteoMATE$378
- AlignMATE$354
- Kerecis Omega3 Marigen$312
- PRIMATRIX$248
- INTEGRA DERMAL REGENERATION TEMPLATE$248
- PuraPly$246
- HOFFMANN$171
- CITREFIX$171
- MIB$132
- Cellerate$132
- APTUS$125
- AUGMENT INJECTABLE$120
- Apligraf$119
- Dermagraft$119
- Puraply/Affinity/NuTech$119
- GRAVITY$118
- Interfyl$117
How this compares
$12,823 in reported general payments places this provider in the 90th percentile of 122 foot & ankle surgery providers in Massachusetts.
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 | 21 | $996 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Brighton
- David SipalaBrighton$94K
- Brandon KelemenBrighton$5K
- Samantha ZdanowiczBrighton$4K
- Melissa FitzgeraldBrighton$3K
- Jonathan KellyBrighton$2K
- Alexandra BrownBrighton$2K
- Harry SchneiderCambridge$174K
- Craig LareauSpringfield$115K
- Philip BasileCambridge$90K
- Michael SgangaNatick$90K
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.