Laura Guerin, DPM
Foot Surgery · Wyomissing, PANPI 1356375190
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 55 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 19 manufacturers, the largest accounting for just 14.1% — the pattern of someone who eats at a lot of different presentations.
Across 55 payments — averaging $24.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$187
- Next Science LLC$179
- Stryker$178
- Organogenesis Inc.$157
- Boston Scientific$130
- KCI USA, Inc.$78
- plus $415 from 13 others
What the payments were for
- Food & beverage$1,323100%
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 | 5 | $187 |
| Next Science LLC | 8 | $179 |
| Stryker | 5 | $178 |
| Organogenesis Inc. | 8 | $157 |
| Boston Scientific | 6 | $130 |
| KCI USA, Inc. | 4 | $78 |
| Zimmer Biomet | 1 | $72 |
| Vertex | 3 | $53 |
| Kowa Pharmaceuticals America, Inc. | 3 | $41 |
| Kerecis Limited | 1 | $36 |
| GRT US Holding, Inc. | 2 | $32 |
| Integra Lifesciences Corporation | 2 | $28 |
| Solventum Corporation | 1 | $24 |
| Acell, Inc. | 1 | $24 |
| Bioventus LLC | 1 | $24 |
| Aroa Biosurgery Incorporated | 1 | $22 |
| Novus Surgical Consultants | 1 | $22 |
| Mimedx Group, Inc. | 1 | $20 |
| Orthofix Medical, Inc. | 1 | $18 |
How this compares
$1,323 in reported general payments places this provider in the 70th percentile of 67 foot surgery providers in Pennsylvania.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 32 | $323 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 37 | $252 |
| Ketoconazole | 16 | $211 |
| Doxycycline Monohydrate | 11 | $115 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $71 |
| Methylprednisolone | 11 | $64 |
| Ciprofloxacin Hcl | 16 | $45 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Wyomissing
- Jess DreznerWyomissing$94
- Joshua ScollBensalem$18K
- Derrico QuattroneJefferson Hills$6K
- Dawn SteinGrove City$5K
- Robert NortonPhiladelphia$4K
- Alyssa FitchLancaster$4K
- Peter LarnedKing Of Prussia$3K
- Nikki MiracleBeaver Falls$3K
- Raymond FritzAllentown$2K
- Pamela GekasBryn Mawr$2K
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.