Mher Vartivarian
Foot & Ankle Surgery · San Francisco, CANPI 1801117874
Payments from drug & device makers
Across 262 payments — averaging $435.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$106K
- Osiris Therapeutics Inc.$776
- Paragon 28, Inc.$634
- Stryker$558
- Voom Medical Devices, Inc.$538
- Treace Medical Concepts, Inc.$536
- plus $5K from 38 others
What the payments were for
- Travel & lodging$5385%
- Food & beverage$10,79795%
- Education$200%
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.
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.
- Stravix$801
- Grafix$594
- REVCON$538
- GrafixPL$453
- Kerecis Omega3 SurgiClose$453
- GRAFIX PL$381
- PICO$359
- Physio-Stim$306
- AccelStim$306
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$261
- RENASYS GO v2 HOME$255
- VANTAGE$171
- INFINITY$168
- Lapiplasty System$160
- Medical Implant$152
- Kerecis Omega3 GraftGuide$151
- Kerecis Omega3 Marigen$151
- Bone Marrow Aspirate Concentrate System$145
- Senza$130
- Omnia$129
How this compares
$114,144 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| JubliaEfinaconazole | 32 | $26,689 |
| Ciclopirox | 44 | $2,342 |
| Lidocaine | 12 | $1,367 |
| Diclofenac Sodium | 49 | $1,131 |
| Ketoconazole | 24 | $711 |
| Gabapentin | 76 | $685 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 33 | $418 |
| Ammonium Lactate | 18 | $277 |
| Doxycycline Hyclate | 20 | $243 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $192 |
| Ciprofloxacin Hcl | 29 | $141 |
| Meloxicam | 44 | $115 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $51 |
| Baclofen | 12 | $5 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in San Francisco
- Michael CoughlinSan Francisco$1.6M
- Tracey VlahovicSan Francisco$313K
- John SchuberthSan Francisco$242K
- Charles ParksSan Francisco$225K
- Colin TraynorSan Francisco$75K
- John ZimmermanBakersfield$4.6M
- Eric GizaSacramento$3.7M
- Thomas HarrisPasadena$3M
- Felix SigalLos Angeles$2.2M
- Thomas ChangSanta Rosa$2.1M
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.