Lance Silverman, MD
Foot and Ankle Surgery · Roswell, GANPI 1609872159
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $14,641 of the $19,869 with a category attached, or 73.7%. Ossio Inc accounts for 76.6% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2024 at $9,678 and has fallen 66.1% since, to $3,281 in 2025. Among foot and ankle surgery clinicians in GA 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 78 payments — averaging $254.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ossio Inc$15K
- Stryker$2K
- Arcuro Medical Inc$560
- Treace Medical Concepts, Inc.$302
- Acumed LLC$296
- Arthrex$261
- plus $1K from 18 others
What the payments were for
- Consulting fees$14,64174%
- Travel & lodging$470%
- Food & beverage$5,18126%
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 |
|---|---|---|
| Ossio Inc | 13 | $15,220 |
| Stryker(2 entities) | 25 | $1,793 |
| Arcuro Medical Inc | 1 | $560 |
| Treace Medical Concepts, Inc. | 2 | $302 |
| Acumed LLC | 4 | $296 |
| Arthrex | 2 | $261 |
| Zimmer Biomet | 4 | $234 |
| Integra Lifesciences Corporation | 3 | $224 |
| Biotissue Holdings Inc. | 1 | $161 |
| Vertex | 2 | $128 |
| Foundation Medical, LLC | 1 | $112 |
| Ossdsign USA Incorporated | 1 | $109 |
| Orthofix Medical, Inc. | 3 | $87 |
| Abanza Inc. | 1 | $70 |
| Linvatec Corporation | 1 | $46 |
| Stimwave Technologies Incorporated | 3 | $45 |
| Smith+Nephew | 2 | $36 |
| Paragon 28, Inc. | 2 | $33 |
| Johnson & Johnson | 1 | $32 |
| Aroa Biosurgery Incorporated | 1 | $29 |
| Davol Inc. | 2 | $29 |
| Bioventus LLC | 1 | $27 |
| Arthrosurface Incorporated | 1 | $21 |
| Misonix 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.
- INTEGRA$590
- INBONE$562
- SUPERBALL$560
- ACUMED$431
- INFINITY$246
- INTEGRA DERMAL REGENERATION TEMPLATE$197
- PRIMATRIX$197
- ANCHORAGE$171
- TMC NANOPLASTY SYSTEM$162
- CLARIX$161
- LAPIPLASTY SYSTEM 1$140
- PROSTEP MICA$128
- Bone Healing Product Portfolio$123
- PRIME SERIES$120
- AUGMENT$114
- OssDsign Catalyst$109
- AUGMENT INJECTABLE$105
How this compares
$19,869 in reported general payments places this provider in the 90th percentile of 239 foot and ankle surgery providers in Georgia.
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 |
|---|---|---|
| Celecoxib | 53 | $1,656 |
| CefuroximeCefuroxime Axetil | 23 | $316 |
| Cyclobenzaprine Hcl | 41 | $193 |
| Ondansetron OdtOndansetron | 43 | $125 |
| Oxycodone Hcl | 39 | $106 |
| Pregabalin | 32 | $103 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Roswell
- Richard KaufmanRoswell$25K
- Paris PaytonRoswell$7K
- Robert WeinsteinFayetteville$394K
- Jason BariteauAtlanta$199K
- Scott RomanPeachtree City$118K
- Jeffrey FlashForest Park$114K
- Mickey StappThomson$110K
- David MurphyWaycross$55K
- Rishin KadakiaAtlanta$53K
- Javan BassLithonia$43K
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.