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Joseph Waterhouse

Foot & Ankle Surgery · Astoria, NYNPI 1518490234

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (36.6%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. Smith+Nephew accounts for 61.4% of it on its own, with 31 other manufacturers making up the rest. 2025 is the largest year on record at $32,496, more than ten times the $854 reported in 2021. Among foot & ankle surgery clinicians in NY 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.

$59,377in general payments, 2019–2025

Across 176 payments — averaging $337.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Smith+Nephew$36K
  • Acera Surgical, Inc.$13K
  • Linvatec Corporation$3K
  • Stryker$1K
  • Paragon 28, Inc.$914
  • Polynovo North America LLC$813
  • plus $4K from 26 others

What the payments were for

  • Consulting fees$18,98132%
  • Speaking & faculty fees$21,72837%
  • Travel & lodging$9,08515%
  • Food & beverage$9,51716%
  • Education$660%

General payments by program year

21
22
23
24
25

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.

CompanyPaymentsTotal
Smith+Nephew67$36,438
Acera Surgical, Inc.30$12,913
Linvatec Corporation7$3,085
Stryker14$1,231
Paragon 28, Inc.8$914
Polynovo North America LLC5$813
Kerecis Limited2$441
Treace Medical Concepts, Inc.4$434
International Life Sciences1$399
Arteriocyte Medical Systems, Inc.2$362
Zimmer Biomet5$339
Musculoskeletal Transplant Foundation Inc.4$310
Vertex2$239
Orthofix Medical, Inc.2$197
Nevro Corp.2$178
Medline Industries LP1$147
Globus Medical1$139
Urgo Medical North America, LLC1$129
Davol Inc.1$106
Acumed LLC2$100
KCI USA, Inc.2$96
Osteomed LLC1$66
Paratek Pharmaceuticals, Inc.2$61
Ossio Inc1$47
Checkpoint Surgical, Inc1$39
Advanced Oxygen Therapy Inc.2$29
Johnson & Johnson1$28
Integra Lifesciences Corporation1$26
Mimedx Group, Inc.1$21
Seapearl East, Inc1$19
Bioventus LLC1$19
Reprise Biomedical, 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.

How this compares

$59,377 in reported general payments places this provider in the 95th percentile of 652 foot & ankle surgery providers in New York.

See all foot & ankle surgery providers in New York →

Medicare billing

Part B allowed, 2024
$92,662
Medicare patients
155
Services billed
699

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.

Other foot & ankle surgery in Astoria

See the full list for New York →

Where these figures come from

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