Krysia Lepoer, DPM
Foot & Ankle Surgery · Providence, RINPI 1679665111
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 89 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 32 manufacturers, the largest accounting for just 11.8% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for foot & ankle surgery clinicians in RI, where the typical reported total is $3,840.
Across 89 payments — averaging $37.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$392
- Medtronic$362
- Paratek Pharmaceuticals, Inc.$339
- Averitas Pharma Inc.$258
- Abbott$251
- Orthofix Medical, Inc.$189
- plus $2K from 26 others
What the payments were for
- Food & beverage$3,322100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 12 | $392 |
| Medtronic(2 entities) | 6 | $362 |
| Paratek Pharmaceuticals, Inc. | 12 | $339 |
| Averitas Pharma Inc. | 7 | $258 |
| Abbott | 2 | $251 |
| Orthofix Medical, Inc. | 4 | $189 |
| Integra Lifesciences Corporation | 3 | $168 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 7 | $151 |
| ANI Pharmaceuticals, Inc. | 5 | $136 |
| Acumed LLC | 3 | $132 |
| Amgen | 1 | $120 |
| Bioventus LLC | 2 | $116 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $100 |
| Tactile Systems Technology Inc | 1 | $84 |
| Shockwave Medical, Inc | 1 | $71 |
| Kerecis Limited | 1 | $69 |
| Treace Medical Concepts, Inc. | 2 | $50 |
| Mimedx Group, Inc. | 2 | $38 |
| Convatec Inc. | 2 | $35 |
| Sebela Pharmaceuticals Inc. | 2 | $32 |
| Johnson & Johnson | 2 | $26 |
| EBI, LLC | 1 | $24 |
| Lifenet Health | 1 | $24 |
| Osteomed LLC | 1 | $22 |
| Nevro Corp. | 1 | $19 |
| Misonix Inc | 1 | $17 |
| Derma Sciences, Inc. | 1 | $17 |
| DJO, LLC | 1 | $17 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
| IBSA Pharma Inc. | 1 | $16 |
| Organogenesis Inc. | 1 | $16 |
| Solventum Corporation | 1 | $14 |
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.
- RAYOS$359
- OsteoMed$201
- Perclose ProGlide suture mediated closure system$134
- Qutenza$128
- Physio-Stim Osteogenesis Stimulator$125
- Stravix$125
- Grafix$125
- STRAVIX PL$125
- GRAFIX PL$125
- NUZYRA$118
- Diamondback Peripheral$117
- BILAYER WOUND MATRIX (BWM)$114
- INTEGRA WOUND MATRIX (IWM)$114
- PRIMATRIX$114
- IDRT$114
- FLOWABLE$114
- VenaSeal$114
- ACUMED$101
How this compares
$3,322 in reported general payments places this provider in the 45th percentile of 58 foot & ankle surgery providers in Rhode Island.
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 |
|---|---|---|
| Ammonium Lactate | 56 | $1,737 |
| Ketoconazole | 34 | $766 |
| Terbinafine Hcl | 43 | $544 |
| Fluconazole | 16 | $286 |
| Gabapentin | 27 | $218 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $104 |
| Methocarbamol | 12 | $96 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Providence
- Christopher DigiovanniProvidence$665K
- Brian PontarelliProvidence$15K
- Tejal MessanaProvidence$8K
- Mark MessanaProvidence$8K
- Erik HaniukProvidence$5K
- Traci Bologna-JillProvidence$5K
- Peter SardellaProvidence$4K
- Michael NearyProvidence$2K
- James PascalidesProvidence$102
- Brandi KimbleProvidence$59
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.