Michael Esber, DPM
Foot & Ankle Surgery · Sun City West, AZNPI 1174597462
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.9%), other and education — rather than concentrated in one kind of arrangement. 38 manufacturers reported payments, led by DJO, LLC at 43.2% of the total. 2025 is the largest year on record at $5,518, 7.1 times the $782 reported in 2019.
Across 188 payments — averaging $69.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- DJO, LLC$6K
- Smith+Nephew$2K
- Musculoskeletal Transplant Foundation Inc.$1K
- Integra Lifesciences Corporation$500
- Medtronic$387
- Organogenesis Inc.$300
- plus $3K from 32 others
What the payments were for
- Food & beverage$5,98846%
- Education$1,26710%
- Other$5,78044%
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 |
|---|---|---|
| DJO, LLC | 13 | $5,637 |
| Smith+Nephew | 27 | $1,814 |
| Musculoskeletal Transplant Foundation Inc. | 11 | $1,312 |
| Integra Lifesciences Corporation | 20 | $500 |
| Medtronic(2 entities) | 9 | $387 |
| Organogenesis Inc. | 9 | $300 |
| Amgen(2 entities) | 11 | $289 |
| AbbVie | 9 | $289 |
| Polynovo North America LLC | 2 | $282 |
| Mimedx Group, Inc. | 2 | $247 |
| Stryker | 2 | $205 |
| Kerecis Limited | 1 | $201 |
| Rikco International, LLC | 4 | $189 |
| Paratek Pharmaceuticals, Inc. | 10 | $163 |
| Nevro Corp. | 3 | $144 |
| KCI USA, Inc. | 6 | $134 |
| Abbott | 4 | $132 |
| Next Science LLC | 5 | $83 |
| Johnson & Johnson(2 entities) | 3 | $78 |
| Orthofix Medical, Inc. | 4 | $65 |
| Solventum Corporation | 2 | $59 |
| Advanced Oxygen Therapy Inc. | 7 | $59 |
| Forthright Medical - AZ, LLC | 5 | $54 |
| Urgo Medical North America, LLC | 2 | $42 |
| Bioventus LLC | 2 | $40 |
| Averitas Pharma Inc. | 1 | $38 |
| Tactile Systems Technology Inc | 2 | $34 |
| Anika Therapeutics, Inc. | 1 | $32 |
| Merck | 2 | $32 |
| Alfasigma USA, Inc. | 1 | $27 |
| Convatec Inc. | 1 | $24 |
| Treace Medical Concepts, Inc. | 1 | $23 |
| Acell, Inc. | 1 | $22 |
| Celularity Inc. | 1 | $22 |
| Innovation Technologies Inc | 1 | $21 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $20 |
| Biocomposites Inc | 1 | $17 |
| Ultragenyx Pharmaceutical Inc. | 1 | $17 |
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.
- GRAFIX PL$1,283
- DR COMFORT$1,078
- Kerecis Omega3 Marigen$803
- INTEGRA$407
- Novosorb BTM$282
- Kerecis Omega3 SurgiClose$201
- HOFFMANN$162
- GrafixPL$154
- Stravix$154
- PuraPly$141
- INTEGRA DERMAL REGENERATION TEMPLATE$136
- PRIMATRIX$136
- KRYSTEXXA$119
- INTELLIS ADAPTIVESTIM$113
- Omnia$106
How this compares
$13,034 in reported general payments places this provider in the 80th percentile of 291 foot & ankle surgery providers in Arizona.
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 |
|---|---|---|
| Mupirocin | 202 | $1,459 |
| Clotrimazole | 81 | $1,451 |
| Gentamicin Sulfate | 49 | $1,139 |
| Ciclopirox | 13 | $688 |
| Doxycycline Hyclate | 86 | $613 |
| Clobetasol Propionate | 35 | $532 |
| Methylprednisolone | 30 | $171 |
| Cephalexin | 24 | $152 |
| Meloxicam | 61 | $110 |
| Gabapentin | 17 | $79 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Sun City West
- Ryan ScottPhoenix$1.1M
- Jeffrey McAlisterScottsdale$578K
- Jeffrey HolmesPhoenix$509K
- Myron HansenChandler$480K
- Scott MalingMesa$382K
- Melissa GalliPhoenix$324K
- Geoffrey LandisTucson$307K
- Zachary FlynnPhoenix$239K
- Bruce WerberScottsdale$177K
- Keith GossChandler$135K
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.