Melissa Fitzgerald, DPM
Foot & Ankle Surgery · Brighton, MANPI 1568032613
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,034 of the $3,220 with a category attached, or 63.2%. 15 manufacturers reported payments, led by Trilliant Surgical LLC. at 34.5% of the total. Reporting peaked in 2023 at $2,134 and has fallen 91.3% since, to $187 in 2025.
Across 47 payments — averaging $68.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trilliant Surgical LLC.$1K
- Medshape, Inc.$638
- Smith+Nephew$487
- Integra Lifesciences Corporation$182
- Acumed LLC$165
- Paratek Pharmaceuticals, Inc.$138
- plus $500 from 9 others
What the payments were for
- Travel & lodging$1,18637%
- Food & beverage$2,03463%
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 |
|---|---|---|
| Trilliant Surgical LLC. | 12 | $1,112 |
| Medshape, Inc. | 6 | $638 |
| Smith+Nephew | 9 | $487 |
| Integra Lifesciences Corporation | 5 | $182 |
| Acumed LLC | 1 | $165 |
| Paratek Pharmaceuticals, Inc. | 3 | $138 |
| Tenex Health Inc. | 1 | $131 |
| Bioventus LLC | 3 | $92 |
| Kairos Surgical Inc | 1 | $85 |
| Orthofix Medical, Inc. | 1 | $82 |
| Life Spine, Inc. | 1 | $34 |
| Pfizer | 1 | $28 |
| Mimedx Group, Inc. | 1 | $18 |
| Sanara Medtech Inc. | 1 | $16 |
| Accufix Surgical Inc. | 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.
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$783
- DynaNail$522
- ALLEVYN LIFE L 15.4X15.4 CTN10$280
- Iodosorb Ointment 40g USA$280
- COLLAGENASE SANTYL$280
- Stravix$280
- Acu-Loc Wrist Plating System$165
- Hand Fracture System$165
- Osteotomy System$165
- Midshaft Forearm Plating System$165
- Small Fragment Base Set$165
- PICO$141
- Grafix$140
- NUZYRA$120
- DynaNail Mini$119
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$119
How this compares
$3,220 in reported general payments places this provider in the 65th percentile of 122 foot & ankle surgery providers in Massachusetts.
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 | 14 | $365 |
| Meloxicam | 12 | $15 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Brighton
- David SipalaBrighton$94K
- John MarcouxBrighton$13K
- Brandon KelemenBrighton$5K
- Samantha ZdanowiczBrighton$4K
- Jonathan KellyBrighton$2K
- Alexandra BrownBrighton$2K
- Harry SchneiderCambridge$174K
- Craig LareauSpringfield$115K
- Philip BasileCambridge$90K
- Michael SgangaNatick$90K
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.