Joseph Ciampoli
Foot & Ankle Surgery · Wilmington, DENPI 1588602080
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 92 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 19 manufacturers reported payments, led by Smith+Nephew at 39.7% of the total. That places this record below the midpoint for foot & ankle surgery clinicians in DE, where the typical reported total is $3,171.
Across 92 payments — averaging $27.10 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$990
- AbbVie$359
- Medtronic$303
- Paratek Pharmaceuticals, Inc.$168
- Kerecis Limited$147
- Organogenesis Inc.$116
- plus $411 from 13 others
What the payments were for
- Food & beverage$2,493100%
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 |
|---|---|---|
| Smith+Nephew | 29 | $990 |
| AbbVie | 15 | $359 |
| Medtronic | 5 | $303 |
| Paratek Pharmaceuticals, Inc. | 11 | $168 |
| Kerecis Limited | 4 | $147 |
| Organogenesis Inc. | 7 | $116 |
| Stryker | 2 | $83 |
| Kowa Pharmaceuticals America, Inc. | 4 | $55 |
| Treace Medical Concepts, Inc. | 3 | $47 |
| Vertex | 2 | $38 |
| Convatec Inc. | 2 | $28 |
| Bioventus LLC | 1 | $26 |
| Osteomed LLC | 1 | $26 |
| Zimmer Biomet | 1 | $25 |
| Integra Lifesciences Corporation | 1 | $19 |
| Synergy Orthopedics, LLC | 1 | $17 |
| Nabriva Therapeutics, PLC | 1 | $17 |
| Cumberland Pharmaceuticals, Inc. | 1 | $15 |
| Medela LLC | 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.
- STRAVIX MESH$290
- INTELLIS ADAPTIVESTIM$131
- Stravix$110
How this compares
$2,493 in reported general payments places this provider in the 45th percentile of 32 foot & ankle surgery providers in Delaware.
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 |
|---|---|---|
| Terbinafine Hcl | 64 | $929 |
| Cephalexin | 24 | $264 |
| Meloxicam | 34 | $234 |
| Doxycycline Hyclate | 25 | $232 |
| Levofloxacin | 11 | $182 |
| Ammonium Lactate | 12 | $176 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $143 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $98 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Wilmington
- Cody BowersWilmington$14K
- Korey DuboisWilmington$7K
- Katrin HeinemanWilmington$6K
- Katherine PersckyWilmington$6K
- David HaleyWilmington$6K
- Rachel NovickWilmington$5K
- Heather RafalWilmington$4K
- Joseph BakanasWilmington$3K
- Ginny Rishel HuangWilmington$2K
- Kristina BystrakWilmington$2K
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.