Michael Coughlin
Foot and Ankle Surgery · San Francisco, CANPI 1023010824
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,223,942 of the $1,592,452 with a category attached, or 76.9%. Arthrex accounts for 72.4% of it on its own, with 16 other manufacturers making up the rest. Among foot and ankle surgery clinicians in CA 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 260 payments — averaging $6124.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$1.2M
- Stryker$365K
- Trilliant Surgical LLC.$26K
- Encore Medical, LP$17K
- Integra Lifesciences Corporation$11K
- Trimed, Inc.$10K
- plus $10K from 11 others
Across 1 payment — averaging $21,020 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Stryker$21K
What the payments were for
- Royalty or licence$1,223,94277%
- Consulting fees$206,06313%
- Speaking & faculty fees$136,4189%
- Travel & lodging$20,0311%
- Food & beverage$4,7980%
- Education$1,2000%
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 | 78 | $1,153,690 |
| Stryker(2 entities) | 107 | $364,988 |
| Trilliant Surgical LLC. | 9 | $26,128 |
| Encore Medical, LP | 14 | $17,130 |
| Integra Lifesciences Corporation | 10 | $10,662 |
| Trimed, Inc. | 19 | $10,150 |
| Smith+Nephew | 9 | $7,392 |
| Gentleman Orthopedic Solutions | 1 | $1,200 |
| Evolution Surgical, Inc | 4 | $333 |
| Steelhead Surgical Inc | 2 | $214 |
| Henry Schein, Inc. | 1 | $175 |
| Exactech, Inc. | 1 | $136 |
| DJO, LLC | 1 | $136 |
| 4web, Inc. | 1 | $49 |
| Treace Medical Concepts, Inc. | 1 | $31 |
| Medshape, Inc. | 1 | $26 |
| Crossroads Extremity Systems, LLC | 1 | $12 |
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.
- ARTHREX$3,977,886
- DISTAL EXTREMITIES INSTRUMENTS DEVICE SPECIFIC INSTRUMENTS PLANTAR PLATE$168,716
- VARIAX$159,149
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE PLANTAR PLATE$154,511
- ANCHORAGE$105,844
- STAR$82,440
- HOFFMANN$77,239
- DISTAL EXTREMITIES IMPLANTS FOREFOOT PLANTAR PLATE$59,044
- T2$56,245
- ASNIS$56,114
- DISTAL EXTREMITIES INSTRUMENTS SOFT TISSUE PLANTAR PLATE$44,565
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE DYNANITE HAMMERTOE$44,565
- INBONE$42,048
- DISTAL EXTREMITIES IMPLANTS DYNANITE HAMMERTOE$32,018
- INFINITY$27,042
- INVISION$26,750
- Trilliant Arsenal Plating System$21,916
- NEXFIX$15,575
- GRAVITY$15,125
- ORTHOLOC 3DI$15,125
How this compares
$1,592,452 in reported general payments places this provider in the 95th percentile of 1,126 foot and ankle surgery providers in California.
Other foot and ankle surgery in San Francisco
- Tracey VlahovicSan Francisco$313K
- Charles ParksSan Francisco$225K
- John SchuberthSan Francisco$216K
- Colin TraynorSan Francisco$75K
- Eric GizaSacramento$3.6M
- Thomas HarrisPasadena$3M
- Thomas ChangSanta Rosa$2M
- 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.