Joseph Fleck, DPM
Foot & Ankle Surgery · North Chelmsford, MANPI 1952890220
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.7%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Smith+Nephew at 59.0% of the total. 2025 is the largest year on record at $14,933, more than ten times the $144 reported in 2020. Among foot & ankle surgery clinicians in MA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 72 payments — averaging $484.17 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$21K
- Fusion Orthopedics USA, LLC$6K
- Paragon 28, Inc.$3K
- Ortho Solutions Inc$3K
- Trilliant Surgical LLC.$1K
- Vilex LLC$700
- plus $831 from 11 others
What the payments were for
- Consulting fees$18,02052%
- Speaking & faculty fees$9,00026%
- Travel & lodging$4,50613%
- Food & beverage$3,2629%
- Entertainment$720%
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 | 30 | $20,561 |
| Fusion Orthopedics USA, LLC | 6 | $6,168 |
| Paragon 28, Inc. | 5 | $2,899 |
| Ortho Solutions Inc | 5 | $2,628 |
| Trilliant Surgical LLC. | 6 | $1,072 |
| Vilex LLC | 4 | $700 |
| Stryker | 3 | $168 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $144 |
| Davol Inc. | 1 | $100 |
| Orthofix Medical, Inc. | 3 | $86 |
| Powerlink AI, Inc. | 1 | $84 |
| Gemini Mountain Medical, LLC | 1 | $69 |
| Medshape, Inc. | 2 | $54 |
| Kairos Surgical Inc | 1 | $43 |
| Johnson & Johnson | 1 | $32 |
| Treace Medical Concepts, Inc. | 1 | $27 |
| Bioventus LLC | 1 | $23 |
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$18,105
- Grafix$17,725
- PICO$8,618
- RENASYS TOUCH$8,618
- GRAFIX PL$6,849
- Grafix XC$5,136
- NA$5,000
- Oasis$4,107
- Portfolio$2,633
- Arsenal Sinus Support Plate$690
- HINTERMANN$504
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$377
- PRIME SERIES$113
- TENOTAC 2.0$106
- PROGEL$100
How this compares
$34,860 in reported general payments places this provider in the 95th 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 | $747 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $209 |
| Ondansetron OdtOndansetron | 17 | $176 |
| Doxycycline Hyclate | 11 | $63 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in North Chelmsford
- Harry SchneiderCambridge$174K
- Craig LareauSpringfield$115K
- David SipalaBrighton$94K
- Philip BasileCambridge$90K
- Michael SgangaNatick$90K
- Michael SkoniecznyPlymouth$33K
- Richard BakerHyannis$16K
- Mark SlovenkaiWaltham$14K
- Jaeyoung KimBoston$14K
- John MarcouxBrighton$13K
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.