Kavin Lombardi
Foot & Ankle Surgery · Alamogordo, NMNPI 1083235253
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (43.4%), education and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Mid-atlantic Surgical Systems, LLC at 37.1% of the total. Reporting peaked in 2022 at $3,146 and has fallen 80.3% since, to $621 in 2025.
Across 55 payments — averaging $122.78 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mid-atlantic Surgical Systems, LLC$3K
- Stryker$2K
- Exactech, Inc.$429
- Smith+Nephew$306
- Integra Lifesciences Corporation$272
- Kerecis Limited$238
- plus $560 from 6 others
What the payments were for
- Travel & lodging$1,42421%
- Food & beverage$2,92943%
- Education$2,40036%
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 |
|---|---|---|
| Mid-atlantic Surgical Systems, LLC | 5 | $2,504 |
| Stryker | 32 | $2,443 |
| Exactech, Inc. | 2 | $429 |
| Smith+Nephew | 3 | $306 |
| Integra Lifesciences Corporation | 3 | $272 |
| Kerecis Limited | 2 | $238 |
| Rattan And Associates | 2 | $139 |
| Zimmer Biomet | 1 | $127 |
| Trice Medical, Inc. | 2 | $126 |
| Acera Surgical, Inc. | 1 | $106 |
| Johnson & Johnson | 1 | $36 |
| Restor3d, Inc. | 1 | $26 |
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.
- PROstep$1,131
- VANTAGE$429
- Kerecis Omega3 SurgiClose$418
- INTEGRA$352
- ZIPSEAL 24 SURGICAL SKIN CLOSURE KIT$296
- PRIMATRIX$251
- INTEGRA DERMAL REGENERATION TEMPLATE$251
- Kerecis Omega3 GraftGuide$139
- Kerecis Omega3 Marigen$139
- STRAVIX PL$139
- INTEGRA MESHED BILAYER WOUND MATRIX$134
- INTEGRA WOUND MATRIX (IWM)$134
- INTEGRA FLOWABLE WOUND MATRIX$134
- Stratum Foot Plating System$127
- Santyl$113
- GRAFIX PL$113
- Stravix$113
- CARTIVA SYNTHETIC CARTILAGE IMPLANT$107
- Restrata Wound Matrix$106
How this compares
$6,753 in reported general payments places this provider in the 75th percentile of 69 foot & ankle surgery providers in New Mexico.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 63 | $736 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 64 | $606 |
| Gabapentin | 30 | $413 |
| Ciclopirox | 12 | $356 |
| Pregabalin | 15 | $292 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 30 | $285 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $232 |
| Amitriptyline Hcl | 14 | $155 |
| Ondansetron Hcl | 11 | $116 |
| Methylprednisolone | 15 | $113 |
| Ciprofloxacin Hcl | 11 | $107 |
| Meloxicam | 25 | $73 |
| Cyclobenzaprine Hcl | 13 | $39 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Alamogordo
- Jacob JonesAlamogordo$9K
- Laramie TescherAlamogordo$1K
- Troy ShepherdAlamogordo$910
- Sarah WilmotAlamogordo$861
- Joshua WolfeLas Cruces$55K
- Adam GoughSilver City$44K
- Ruben NunezLas Vegas$31K
- Alexander RamirezLas Vegas$22K
- Harsh AminLas Vegas$18K
- Stephanie GonzalezLas Cruces$15K
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.