Michael Mancano
Foot & Ankle Surgery · Fort Myers, FLNPI 1649912692
Payments from drug & device makers
Across 53 payments — averaging $87.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$3K
- Integra Lifesciences Corporation$342
- Treace Medical Concepts, Inc.$298
- Stryker$206
- Abbott$170
- Medline Industries LP$166
- plus $858 from 10 others
What the payments were for
- Travel & lodging$1,92342%
- Food & beverage$2,69158%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 30 | $2,574 |
| Integra Lifesciences Corporation | 3 | $342 |
| Treace Medical Concepts, Inc. | 3 | $298 |
| Stryker | 4 | $206 |
| Abbott | 1 | $170 |
| Medline Industries LP | 1 | $166 |
| Linvatec Corporation | 1 | $142 |
| Coastal Medical Technologies LLC | 1 | $141 |
| Paratek Pharmaceuticals, Inc. | 1 | $122 |
| AbbVie | 1 | $122 |
| Smith+Nephew | 1 | $113 |
| Bone Support Inc. | 1 | $98 |
| Melinta Therapeutics, LLC | 2 | $46 |
| Solventum Corporation | 1 | $32 |
| Organogenesis Inc. | 1 | $27 |
| Surgenex LLC | 1 | $15 |
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.
- TrueLok$1,688
- INTEGRA$976
- INTEGRA DERMAL REGENERATION TEMPLATE$325
- PRIMATRIX$325
- Physio-Stim$321
- Lapiplasty System$248
- PROCLAIM$170
- BioBrace 23mm$142
- COLINK 2$142
- NUZYRA$122
- DALVANCE$122
- Bone Anchors with Arthroscopic Delivery System$113
How this compares
$4,614 in reported general payments places this provider in the 55th percentile of 850 foot & ankle surgery providers in Florida.
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.
Other foot & ankle surgery in Fort Myers
- Andrew BelisFort Myers$206K
- Chad SimmonsFort Myers$60K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1.1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$938K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$814K
- Riquel GonzalezHialeah$612K
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.