Melissa Smith
Foot & Ankle Surgery · Alexandria, VANPI 1467470849
Payments from drug & device makers
Across 21 payments — averaging $101.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supreme Orthopedic Systems, LLC$2K
- Amgen$100
- IBSA Pharma Inc.$58
- Triad Life Sciences Inc.$58
- Osteomed LLC$43
- Paratek Pharmaceuticals, Inc.$38
- plus $55 from 4 others
What the payments were for
- Food & beverage$36817%
- Education$1,76183%
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 |
|---|---|---|
| Supreme Orthopedic Systems, LLC | 2 | $1,777 |
| Amgen(2 entities) | 5 | $100 |
| IBSA Pharma Inc. | 3 | $58 |
| Triad Life Sciences Inc. | 3 | $58 |
| Osteomed LLC | 2 | $43 |
| Paratek Pharmaceuticals, Inc. | 2 | $38 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $19 |
| Davol Inc. | 1 | $16 |
| Progenacare Global, LLC | 1 | $15 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $5 |
How this compares
$2,129 in reported general payments places this provider in the 35th percentile of 260 foot & ankle surgery providers in Virginia.
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 |
|---|---|---|
| Naftifine Hcl | 22 | $5,977 |
| Pregabalin | 59 | $2,411 |
| Terbinafine Hcl | 19 | $130 |
| Silver Sulfadiazine | 17 | $86 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Alexandria
- Charles ZelenRoanoke$6.2M
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$1.2M
- Matthew DairmanSuffolk$376K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- Bradley LevittVirginia Beach$284K
- William GrantVirginia Beach$271K
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.