Marisa Giustiniano, DPM
Foot & Ankle Surgery · Brooklyn, NYNPI 1740819093
Payments from drug & device makers
Across 28 payments — averaging $78.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$468
- Treace Medical Concepts, Inc.$436
- Smith+Nephew$294
- Kerecis Limited$261
- Musculoskeletal Transplant Foundation Inc.$195
- Medtronic$141
- plus $399 from 4 others
What the payments were for
- Travel & lodging$332%
- Food & beverage$2,16098%
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 |
|---|---|---|
| Stryker | 5 | $468 |
| Treace Medical Concepts, Inc. | 4 | $436 |
| Smith+Nephew | 8 | $294 |
| Kerecis Limited | 2 | $261 |
| Musculoskeletal Transplant Foundation Inc. | 3 | $195 |
| Medtronic | 1 | $141 |
| Nevro Corp. | 2 | $138 |
| Averitas Pharma Inc. | 1 | $125 |
| Suvon Surgical LLC | 1 | $115 |
| Integra Lifesciences Corporation | 1 | $21 |
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.
- Kerecis Omega3 Marigen$660
- CITREFIX$333
- 7 X 23MM CITRELOCK IMPLANT$217
- Lapiplasty System$168
- Kerecis Omega3 SurgiClose$165
- INTELLIS ADAPTIVESTIM$141
- Qutenza$125
- ACTICOAT 4" X 4"$112
- ALLEVYN HEEL 10.5CM X 13.5CM CTN 5$112
- Iodosorb Ointment 40g USA$112
- COLLAGENASE SANTYL$112
- VARIAX$112
- PROstep$112
- HOFFMANN$105
- ALLOWRAP$105
How this compares
$2,194 in reported general payments places this provider in the 50th percentile of 652 foot & ankle surgery providers in New York.
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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 12 | $5,747 |
| Clotrimazole | 89 | $1,679 |
| Cephalexin | 39 | $785 |
| CiclopiroxCiclopirox Olamine | 25 | $776 |
| Ciclopirox | 29 | $644 |
| Mupirocin | 45 | $627 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 40 | $316 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 15 | $238 |
| Ibuprofen | 16 | $35 |
| Meloxicam | 11 | $9 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $294 | $5,74712 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 50th percentile of 652 foot & ankle surgery providers in New York.
Other foot & ankle surgery in Brooklyn
- Edward AzarBrooklyn$224K
- William SpielfogelBrooklyn$111K
- David MandilBrooklyn$56K
- Yury RotshteynBrooklyn$43K
- Mario VoloshinBrooklyn$33K
- Bryan MakowerBrooklyn$28K
- Amit GandhiBrooklyn$21K
- James McWilliamHarrison$4.7M
- Jonathan DelandNew York$4.1M
- George Vitole Roy$2.5M
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.