Joseph Pusateri
Foot & Ankle Surgery · Fort Myers, FLNPI 1669769519
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (40.8%), food and beverage and consulting fees — rather than concentrated in one kind of arrangement. 45 manufacturers reported payments, led by Kerecis Limited at 53.1% of the total. Reporting peaked in 2023 at $9,800 and has fallen 81.0% since, to $1,859 in 2025. Among foot & ankle surgery clinicians in FL 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 219 payments — averaging $157.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kerecis Limited$18K
- Aroa Biosurgery Incorporated$5K
- Boston Scientific$2K
- Acell, Inc.$2K
- KCI USA, Inc.$925
- Stryker$853
- plus $6K from 39 others
What the payments were for
- Consulting fees$6,60019%
- Speaking & faculty fees$14,10041%
- Travel & lodging$1,4794%
- Food & beverage$12,40336%
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.
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$44,798
- Kerecis Omega3 SurgiClose$33,394
- Kerecis Omega3 GraftGuide$12,707
- MIRO3D$513
- VAC VERAFLO$483
- GENERAL VASCULAR INTERVENTION$336
- ANGIOJET$241
- INTEGRA MESHED BILAYER WOUND MATRIX$236
- INTEGRA WOUND MATRIX (IWM)$236
- PRIMATRIX$236
- INTEGRA DERMAL REGENERATION TEMPLATE$236
- INTEGRA FLOWABLE WOUND MATRIX$236
- CellerateRx$228
- ELUVIA$228
- Puraply Antimicrobial$226
- Stimulan$225
- PREVENA$220
- CYTAL$218
- ANCHORAGE$165
- HOFFMANN$163
How this compares
$34,582 in reported general payments places this provider in the 90th percentile of 850 foot & ankle surgery providers in Florida.
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 | 17 | $580 |
| Gabapentin | 34 | $340 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $250 |
| Doxycycline Hyclate | 34 | $235 |
| Terbinafine Hcl | 13 | $200 |
| Ibuprofen | 15 | $172 |
| Ciprofloxacin Hcl | 12 | $154 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $75 |
| Levofloxacin | 12 | $43 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $40 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Fort Myers
- Andrew BelisFort Myers$206K
- Chad SimmonsFort Myers$60K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
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.