Marc Safran, MD
Sports Medicine · Palo Alto, CANPI 1134170467
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $468,907 of the $589,437 with a category attached, or 79.6%. Smith+Nephew accounts for 95.4% of it on its own, with 7 other manufacturers making up the rest. Among sports medicine clinicians in CA 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 197 payments — averaging $2992.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$562K
- Medacta USA, Inc.$26K
- DJO, LLC$472
- Organogenesis Inc.$282
- Stryker$73
- Arthrex$45
- plus $60 from 2 others
Across 8 payments — averaging $72,125 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smith+Nephew$577K
What the payments were for
- Royalty or licence$468,90780%
- Consulting fees$16,2043%
- Speaking & faculty fees$82,78514%
- Travel & lodging$17,0303%
- Food & beverage$2,8790%
- Gifts$1,6310%
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 | 87 | $562,339 |
| Medacta USA, Inc. | 98 | $26,166 |
| DJO, LLC | 5 | $472 |
| Organogenesis Inc. | 1 | $282 |
| Stryker | 3 | $73 |
| Arthrex | 1 | $45 |
| Hydrocision, Inc. | 1 | $41 |
| Evolution Surgical, Inc | 1 | $18 |
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.
- Q-FIX$403,464
- Q-FIX Hip$112,606
- Meniscal Root Repair System$26,750
- Healicoil$25,545
- Acufex Director$24,435
- Fast-Fix 360$24,435
- Meniscal Stitcher Set$24,435
- Meniscus Mender II$24,435
- Bone Anchors with Arthroscopic Delivery System$17,820
- SPATIAL FRAME$15,390
- MECTA$13,508
- Accu-pass$12,480
- AMISTEM$10,012
- REAL INTELLIGENCE$7,771
- Firstpass$7,620
- Hipstruments$6,944
- Regeneten$6,210
- HEALICOIL REGENESORB$6,210
- LENS 4K$6,210
- MICRORAPTOR REGENESORB$6,210
How this compares
$589,437 in reported general payments places this provider in the 95th percentile of 662 sports medicine providers in California.
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.
Other sports medicine in Palo Alto
- Amol SaxenaPalo Alto$110K
- Neal ElattracheLos Angeles$51M
- Nathaniel CohenLos Gatos$6.4M
- Thomas KnappSanta Monica$2.5M
- Michael FreehillStanford$1.6M
- Allan MishraMenlo Park$1.5M
- Heinz Hoeneckela Jolla$1.4M
- Seth ShermanStanford$1.1M
- Stephan YacoubianBurbank$1M
- Stephen Snydervan Nuys$922K
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.