Mark Vitale, MD
Hand Surgery · Greenwich, CTNPI 1013174697
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $10,160 of the $13,038 with a category attached, or 77.9%. Endo Pharmaceuticals Inc. accounts for 94.5% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2022 at $6,255 and has fallen 97.6% since, to $150 in 2025. Among hand surgery clinicians in CT 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 43 payments — averaging $303.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Endo Pharmaceuticals Inc.$12K
- Endo USA, Inc.$165
- Sonex Health, Inc.$158
- Arthrex$105
- Trimed, Inc.$101
- Medartis Inc.$63
- plus $123 from 4 others
Across 4 payments — averaging $3431.25 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.
- Endo Pharmaceuticals Inc.$14K
What the payments were for
- Consulting fees$10,16078%
- Travel & lodging$1,49811%
- Food & beverage$1,2109%
- Education$1691%
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 |
|---|---|---|
| Endo Pharmaceuticals Inc. | 26 | $12,322 |
| Endo USA, Inc. | 5 | $165 |
| Sonex Health, Inc. | 1 | $158 |
| Arthrex | 3 | $105 |
| Trimed, Inc. | 1 | $101 |
| Medartis Inc. | 1 | $63 |
| Bioventus LLC | 3 | $49 |
| Axogen | 1 | $36 |
| UCB, Inc. | 1 | $22 |
| Ferring Pharmaceuticals Inc. | 1 | $16 |
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.
- XIAFLEX$11,477
- Sx-One Microknife$158
How this compares
$13,038 in reported general payments places this provider in the 90th percentile of 54 hand surgery providers in Connecticut.
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 |
|---|---|---|
| Meloxicam | 45 | $157 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Greenwich
- David WeiGreenwich$2K
- Matthew CantlonGreenwich$133
- Michael RedlerTrumbull$763K
- Richard BernsteinHamden$437K
- Lisa LattanzaNew Haven$156K
- Kenneth DonohueNew Haven$41K
- Paul ProtomastroNorwalk$16K
- Erik CarlsonMiddlebury$13K
- Devon BandaGlastonbury$10K
- Douglas WischTorrington$9K
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.