Megan Hom, DPM
Foot & Ankle Surgery · San Francisco, CANPI 1629564869
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (55.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Evolution Surgical, Inc at 48.1% of the total. Reporting peaked in 2022 at $7,276 and has fallen 82.4% since, to $1,283 in 2025. Among foot & ankle surgery clinicians in CA 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 130 payments — averaging $109.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Evolution Surgical, Inc$7K
- Arthrex$5K
- Smith+Nephew$660
- Alafair Biosciences, Inc.$358
- Stryker$225
- Nevro Corp.$205
- plus $1K from 18 others
What the payments were for
- Travel & lodging$1,85713%
- Food & beverage$4,48831%
- Education$7,95056%
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 |
|---|---|---|
| Evolution Surgical, Inc | 24 | $6,871 |
| Arthrex | 30 | $4,818 |
| Smith+Nephew | 32 | $660 |
| Alafair Biosciences, Inc. | 3 | $358 |
| Stryker | 3 | $225 |
| Nevro Corp. | 4 | $205 |
| Bioventus LLC | 6 | $199 |
| Paragon 28, Inc. | 3 | $178 |
| Tactile Systems Technology Inc | 2 | $162 |
| Medshape, Inc. | 1 | $119 |
| Treace Medical Concepts, Inc. | 3 | $91 |
| AbbVie | 3 | $66 |
| Integra Lifesciences Corporation | 2 | $45 |
| Orthofix Medical, Inc. | 2 | $44 |
| Johnson & Johnson | 2 | $42 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $39 |
| Amniox Medical, Inc. | 1 | $29 |
| Organogenesis Inc. | 1 | $25 |
| Zimmer Biomet | 1 | $24 |
| Convatec Inc. | 1 | $23 |
| Stimwave Technologies Incorporated | 1 | $22 |
| Alfasigma USA, Inc. | 1 | $17 |
| KCI USA, Inc. | 1 | $17 |
| Musculoskeletal Transplant Foundation 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.
- VersaWrap$294
- PICO$213
- INFINITY$168
- Flexitouch Plus$147
- Entre Plus$147
- Exogen Ultrasound Bone Healing System$144
- Senza$130
- DynaNail Helix, Washer, 15 mm$119
- RENASYS GO v2 HOME$109
How this compares
$14,295 in reported general payments places this provider in the 90th percentile of 1,126 foot & ankle surgery 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ketoconazole | 65 | $1,235 |
| Cefadroxil | 45 | $349 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $192 |
| Terbinafine Hcl | 23 | $149 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $132 |
| Doxycycline Hyclate | 14 | $118 |
| Gabapentin | 26 | $81 |
| Triamcinolone Acetonide | 16 | $72 |
| Meloxicam | 45 | $65 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in San Francisco
- Michael CoughlinSan Francisco$1.6M
- Tracey VlahovicSan Francisco$313K
- Charles ParksSan Francisco$225K
- John SchuberthSan Francisco$216K
- Colin TraynorSan Francisco$75K
- Eric GizaSacramento$3.6M
- Thomas HarrisPasadena$3M
- Thomas ChangSanta Rosa$2M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
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.