Joseph Disabato, DPM
Foot & Ankle Surgery · Charlottesville, VANPI 1881664571
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (25.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 40 manufacturers reported payments, led by Integra Lifesciences Corporation at 33.7% of the total. Reporting peaked in 2019 at $11,926 and has fallen 92.4% since, to $904 in 2025. Among foot & ankle surgery clinicians in VA 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 174 payments — averaging $167.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$10K
- Axogen$7K
- Arthrex$4K
- Stryker$2K
- Supreme Orthopedic Systems, LLC$2K
- Fortis Surgical, LLC$1K
- plus $3K from 34 others
What the payments were for
- Consulting fees$7,50026%
- Speaking & faculty fees$6,87524%
- Travel & lodging$5,91620%
- Food & beverage$4,52315%
- Education$4,09614%
- Other$2901%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 27 | $9,851 |
| Axogen | 10 | $7,295 |
| Arthrex | 12 | $3,915 |
| Stryker(2 entities) | 41 | $1,970 |
| Supreme Orthopedic Systems, LLC | 3 | $1,585 |
| Fortis Surgical, LLC | 5 | $1,404 |
| Paragon 28, Inc. | 5 | $1,344 |
| Smith+Nephew | 22 | $461 |
| Treace Medical Concepts, Inc. | 1 | $210 |
| Osteomed LLC | 1 | $96 |
| Arteriocyte Medical Systems, Inc. | 1 | $95 |
| Orthofix Medical, Inc. | 4 | $76 |
| Next Science LLC | 1 | $72 |
| KCI USA, Inc. | 4 | $71 |
| Checkpoint Surgical, Inc | 2 | $58 |
| Johnson & Johnson | 2 | $56 |
| Bioventus LLC | 3 | $53 |
| Melinta Therapeutics, LLC | 3 | $47 |
| Organogenesis Inc. | 2 | $43 |
| Innovation Technologies Inc | 1 | $43 |
| Medtronic | 2 | $42 |
| Paratek Pharmaceuticals, Inc. | 3 | $41 |
| Polynovo North America LLC | 1 | $33 |
| Medshape, Inc. | 1 | $32 |
| Misonix Inc | 2 | $30 |
| Biocomposites Inc | 1 | $29 |
| SPR Therapeutics, Inc | 1 | $29 |
| Access Pro Medical, LLC | 1 | $27 |
| Bone Support Inc. | 1 | $21 |
| Davol Inc. | 1 | $20 |
| Acera Surgical, Inc. | 1 | $19 |
| Amgen | 1 | $19 |
| Cashflow Solutions, LLC | 1 | $17 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
| AbbVie | 1 | $16 |
| Trice Medical, Inc. | 1 | $15 |
| Arthrosurface Incorporated | 1 | $14 |
| Convatec Inc. | 1 | $14 |
| Lifenet Health | 1 | $13 |
| Polarityte, Inc. | 1 | $12 |
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.
- INTEGRA$15,554
- AxoGuard Nerve Connector$7,008
- AxoGuard Nerve Protector$7,008
- GENTRIX$640
- INTEGRA DERMAL REGENERATION TEMPLATE$624
- PRIMATRIX$624
- TENOGLIDE$600
- Product Portfolio$587
- APEX$509
- CODMAN CERTAS$300
- SURGIMEND$300
- HOFFMANN$242
- AUGMENT INJECTABLE$214
- Lapiplasty System$210
- ORTHOLOC 2 LAPIFUSE$146
- EASYFUSE$146
- T2$137
- NA$137
- AVANCE NERVE GRAFT$122
- CYTAL$115
How this compares
$29,200 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Celecoxib | 23 | $1,472 |
| Pregabalin | 19 | $947 |
| Gabapentin | 30 | $468 |
| Cephalexin | 116 | $419 |
| Oxycodone Hcl | 22 | $124 |
| Ciprofloxacin Hcl | 26 | $90 |
| Terbinafine Hcl | 11 | $88 |
| Prednisone | 26 | $81 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $28 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Charlottesville
- Minton CooperCharlottesville$88K
- Joseph ParkCharlottesville$69K
- Caroline TippettCharlottesville$13K
- Christopher StewartCharlottesville$10K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
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.