Megan Paulus, MD
Foot and Ankle Surgery · East Setauket, NYNPI 1205151768
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $58,558 of the $88,738 with a category attached, or 66.0%. Arthrex accounts for 74.2% of it on its own, with 18 other manufacturers making up the rest. 2025 is the largest year on record at $39,320, 6.6 times the $5,928 reported in 2019. Among foot and ankle surgery clinicians in NY 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 168 payments — averaging $528.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$66K
- Medical Device Business Services, Inc.$10K
- Gotham Surgical Solutions & Devices, Inc.$9K
- Polaris Technology Solutions LLC$2K
- Stryker$914
- Zimmer Biomet$156
- plus $639 from 13 others
What the payments were for
- Consulting fees$10,12511%
- Speaking & faculty fees$58,55866%
- Travel & lodging$6,9928%
- Food & beverage$4,8185%
- Education$8,2459%
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 |
|---|---|---|
| Arthrex | 99 | $65,842 |
| Medical Device Business Services, Inc. | 2 | $10,125 |
| Gotham Surgical Solutions & Devices, Inc. | 16 | $8,575 |
| Polaris Technology Solutions LLC | 13 | $2,487 |
| Stryker(2 entities) | 18 | $914 |
| Zimmer Biomet | 2 | $156 |
| DJO, LLC | 4 | $121 |
| Vertex | 1 | $102 |
| Globus Medical | 1 | $85 |
| Paragon 28, Inc. | 2 | $71 |
| Ferring Pharmaceuticals Inc. | 2 | $43 |
| Relievant Medsystems, Inc. | 1 | $42 |
| Osteomed LLC | 1 | $33 |
| Boston Scientific | 1 | $33 |
| Biocomposites Inc | 1 | $32 |
| Integra Lifesciences Corporation | 1 | $27 |
| Kerecis Limited | 1 | $22 |
| Acumed LLC | 1 | $15 |
| Encore Medical, LP | 1 | $14 |
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.
- DCP/LC-DCP PLATES & SCREWS$6,750
- INFINITY$132
- FLEXBAND$130
- INBONE$130
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE MTP$125
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE ANKLE FUSION$124
- DISTAL EXTREMITIES IMPLANTS FRACTURE MANAGEMENT ANKLE FRACTURE$116
- ROSA$106
- JOURNAVX$102
How this compares
$88,738 in reported general payments places this provider in the 95th percentile of 652 foot and 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 |
|---|---|---|
| Meloxicam | 17 | $37 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in East Setauket
- Mudasser JavedEast Setauket$39K
- James McWilliamHarrison$4.7M
- Jonathan DelandNew York$4M
- George Vitole Roy$2.5M
- Constantine DemetracopoulosNew York$888K
- Anne JohnsonNew York$815K
- Scott EllisNew York$597K
- John KennedyNew York$534K
- Michael KellerKingston$532K
- Judith BaumhauerRochester$328K
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.