Michael Sganga, DPM
Foot & Ankle Surgery · Natick, MANPI 1215370093
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (58.6%), consulting fees and education — rather than concentrated in one kind of arrangement. Arthrex accounts for 61.9% of it on its own, with 18 other manufacturers making up the rest. Among foot & ankle surgery clinicians in MA 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 140 payments — averaging $639.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$55K
- Hologic Inc$17K
- Kairos Surgical Inc$11K
- Smith+Nephew$3K
- Treace Medical Concepts, Inc.$2K
- Stryker$497
- plus $703 from 13 others
Across 2 payments — averaging $1100.00 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.
- Applied Medical Research, Inc$2K
What the payments were for
- Consulting fees$21,00023%
- Speaking & faculty fees$52,50059%
- Travel & lodging$2,0832%
- Food & beverage$3,1944%
- Education$10,75812%
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 | 41 | $55,457 |
| Hologic Inc | 12 | $17,070 |
| Kairos Surgical Inc | 41 | $10,976 |
| Smith+Nephew | 10 | $3,066 |
| Treace Medical Concepts, Inc. | 7 | $1,764 |
| Stryker(2 entities) | 14 | $497 |
| Johnson & Johnson | 2 | $208 |
| Linvatec Corporation | 1 | $171 |
| Accufix Surgical Inc. | 1 | $54 |
| Axogen | 2 | $48 |
| Voom Medical Devices, Inc. | 1 | $44 |
| Zimmer Biomet | 1 | $44 |
| Averitas Pharma Inc. | 1 | $43 |
| Osteomed LLC | 1 | $30 |
| Powerlink AI, Inc. | 1 | $17 |
| Arthrosurface Incorporated | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $13 |
| Acumed LLC | 1 | $11 |
| Organogenesis Inc. | 1 | $7 |
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.
- HORIZON A$4,575
- Insight 2$3,300
- Lapiplasty System$1,704
- BioBrace 23mm$171
- 5MS$171
- COLINK MFX$171
- MOTOBAND$131
How this compares
$89,535 in reported general payments places this provider in the 95th percentile of 122 foot & ankle surgery providers in Massachusetts.
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 |
|---|---|---|
| Diclofenac Sodium | 13 | $115 |
| Methylprednisolone | 14 | $103 |
| Mupirocin | 12 | $65 |
| Oxycodone Hcl | 12 | $47 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Natick
- Harry SchneiderCambridge$174K
- Craig LareauSpringfield$115K
- David SipalaBrighton$94K
- Philip BasileCambridge$90K
- Joseph FleckNorth Chelmsford$35K
- Michael SkoniecznyPlymouth$33K
- Richard BakerHyannis$16K
- Mark SlovenkaiWaltham$14K
- Jaeyoung KimBoston$14K
- John MarcouxBrighton$13K
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.