Marc Michaud, MD
Foot and Ankle Surgery · Manchester, NHNPI 1063491702
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (44.9%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 30 manufacturers reported payments, led by AbbVie at 30.0% of the total. Reporting peaked in 2019 at $5,541 and has fallen 57.3% since, to $2,367 in 2025. Among foot and ankle surgery clinicians in NH 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.
Across 199 payments — averaging $83.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$5K
- Smith+Nephew$2K
- Stryker$2K
- Cerapedics Inc.$1K
- Arthrex$1K
- Kairos Surgical Inc$641
- plus $4K from 24 others
What the payments were for
- Speaking & faculty fees$4,00024%
- Travel & lodging$3,92024%
- Food & beverage$7,41945%
- Education$1,2007%
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 |
|---|---|---|
| AbbVie | 12 | $4,960 |
| Smith+Nephew | 11 | $2,123 |
| Stryker(2 entities) | 14 | $1,836 |
| Cerapedics Inc. | 15 | $1,349 |
| Arthrex | 4 | $1,254 |
| Kairos Surgical Inc | 4 | $641 |
| Innovation Technologies Inc | 5 | $636 |
| Paragon 28, Inc. | 13 | $575 |
| Pacira Pharmaceuticals Incorporated | 18 | $559 |
| Johnson & Johnson(2 entities) | 14 | $527 |
| Ferring Pharmaceuticals Inc. | 34 | $480 |
| Bioventus LLC | 11 | $287 |
| Alphatec Spine, Inc | 1 | $194 |
| Vertex | 8 | $141 |
| Arthrosurface Incorporated | 1 | $127 |
| Zimmer Biomet | 3 | $121 |
| Bone Support Inc. | 1 | $118 |
| Pacira Therapeutics, Inc. | 5 | $117 |
| Endo Pharmaceuticals Inc. | 4 | $85 |
| Regeneron Healthcare Solutions, Inc. | 4 | $78 |
| Fidia Pharma USA Inc. | 4 | $69 |
| Takeda Pharmaceuticals U.S.A., Inc. | 4 | $66 |
| Endo USA, Inc. | 2 | $54 |
| Radius Health, Inc. | 1 | $33 |
| Getinge USA Sales, LLC | 1 | $25 |
| Pfizer | 1 | $22 |
| Orthofix Medical, Inc. | 1 | $19 |
| Atricure, Inc. | 1 | $19 |
| Sanofi | 1 | $15 |
| UCB, Inc. | 1 | $11 |
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.
- I-FACTOR PEPTIDE ENHANCED BONE GRAFT$2,791
- Grafix$1,192
- RENASYS TOUCH$1,192
- Versajet$1,192
- PICO$1,192
- INFINITY$881
- INTEGRA$627
- Irrisept$537
- INCOMPASS TOTAL ANKLE SYSTEM$255
- Other - Miscellaneous$194
- DART-FIRE$161
- GRAFIX PL$130
- Oasis$130
- Stravix$130
- STRAVIX PL$130
- HemiCAP MTP Resurfacing$127
- ASNIS$127
- TWISTR$120
- FMS$120
- TRUESPAN$120
How this compares
$16,539 in reported general payments places this provider in the 95th percentile of 23 foot and ankle surgery providers in New Hampshire.
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 |
|---|---|---|
| Ondansetron OdtOndansetron | 59 | $542 |
| Cephalexin | 33 | $521 |
| Oxycodone Hcl | 59 | $397 |
| Diclofenac Sodium | 13 | $146 |
| Naproxen | 18 | $128 |
| Prednisone | 39 | $124 |
| Meloxicam | 22 | $116 |
| Tramadol Hcl | 13 | $93 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $78 |
| Methylprednisolone | 11 | $50 |
| Amoxicillin | 13 | $22 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Manchester
- Jonathan LeeManchester$8K
- N Jake SummersManchester$4K
- Breton FoxManchester$3K
- Kristin ViscoManchester$2K
- Peter KasyjanskiManchester$1K
- John GregoryLebanon$7K
- Michael KellyNashua$7K
- Amanda DelaneyNashua$3K
- David HoeftNorth Conway$1K
- Reid ChristieLondonderry$859
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.