Melissa Lipari
Foot & Ankle Surgery · Fair Oaks, CANPI 1518523489
Payments from drug & device makers
Across 98 payments — averaging $90.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Stryker$2K
- Arthrex$1K
- Alpha Orthopedic Systems$1K
- Kerecis Limited$226
- Exactech, Inc.$193
- plus $2K from 18 others
What the payments were for
- Travel & lodging$3,12735%
- Food & beverage$4,57551%
- Education$1,20013%
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 |
|---|---|---|
| Smith+Nephew | 14 | $2,407 |
| Stryker | 29 | $1,791 |
| Arthrex | 20 | $1,409 |
| Alpha Orthopedic Systems | 2 | $1,207 |
| Kerecis Limited | 2 | $226 |
| Exactech, Inc. | 1 | $193 |
| Nevro Corp. | 2 | $158 |
| Orthofix Medical, Inc. | 5 | $152 |
| Biotissue Holdings Inc. | 1 | $138 |
| Medtronic | 1 | $137 |
| Johnson & Johnson | 1 | $137 |
| Amgen | 2 | $134 |
| Steelhead Surgical Inc | 1 | $129 |
| AbbVie | 2 | $122 |
| Polynovo North America LLC | 1 | $107 |
| KCI USA, Inc. | 1 | $100 |
| Pylant Medical | 3 | $97 |
| Innovation Technologies Inc | 1 | $83 |
| Bioventus LLC | 2 | $45 |
| Paratek Pharmaceuticals, Inc. | 2 | $38 |
| Curonix LLC | 2 | $30 |
| Treace Medical Concepts, Inc. | 1 | $23 |
| Evolution Surgical, Inc | 1 | $22 |
| Solventum Corporation | 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.
- Cadence$1,458
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$1,458
- Integra XT$1,458
- PROstep$818
- Kerecis Omega3 Marigen$767
- Panta 2$415
- VANTAGE$193
- Kerecis Omega3 SurgiClose$192
- PROSTEP MICA$170
- NEOX$138
- INTELLIS ADAPTIVESTIM$137
- FIBERGRAFT Aeridyan Matrix$137
- Senza$124
- KRYSTEXXA$110
- Novosorb BTM$107
- DALVANCE$107
- PREVENA$100
How this compares
$8,901 in reported general payments places this provider in the 80th percentile of 1,126 foot & ankle surgery providers in California.
Other foot & ankle surgery in Fair Oaks
- Gregory TovmassianFair Oaks$338K
- John ZimmermanBakersfield$4.6M
- Eric GizaSacramento$3.7M
- Thomas HarrisPasadena$3M
- Felix SigalLos Angeles$2.2M
- Thomas ChangSanta Rosa$2.1M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.