Michael Skonieczny, DPM
Foot & Ankle Surgery · Plymouth, MANPI 1467736603
Payments from drug & device makers
Across 266 payments — averaging $123.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paratek Pharmaceuticals, Inc.$26K
- Stryker$2K
- Smith+Nephew$2K
- Treace Medical Concepts, Inc.$555
- Vertex$226
- Orthofix Medical, Inc.$222
- plus $3K from 32 others
What the payments were for
- Speaking & faculty fees$18,24056%
- Travel & lodging$6,43420%
- Food & beverage$8,09725%
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 |
|---|---|---|
| Paratek Pharmaceuticals, Inc. | 52 | $26,048 |
| Stryker(2 entities) | 33 | $1,648 |
| Smith+Nephew | 72 | $1,554 |
| Treace Medical Concepts, Inc. | 14 | $555 |
| Vertex | 8 | $226 |
| Orthofix Medical, Inc. | 10 | $222 |
| Bone Support Inc. | 2 | $217 |
| Integra Lifesciences Corporation | 5 | $202 |
| Amgen(2 entities) | 9 | $175 |
| Bioventus LLC | 6 | $163 |
| Mimedx Group, Inc. | 2 | $158 |
| Carbofix Orthopedics Inc | 2 | $154 |
| Next Science LLC | 4 | $148 |
| ANI Pharmaceuticals, Inc. | 6 | $144 |
| Organogenesis Inc. | 5 | $114 |
| Medical Device Business Services, Inc. | 1 | $112 |
| Osiris Therapeutics Inc. | 1 | $111 |
| Biowound Solutions, Inc. | 5 | $85 |
| Gramercy Extremity Orthopedics LLC | 1 | $78 |
| Solventum Corporation | 3 | $60 |
| Accufix Surgical Inc. | 1 | $54 |
| Kerecis Limited | 2 | $51 |
| Advanced Oxygen Therapy Inc. | 2 | $47 |
| AbbVie | 2 | $47 |
| Misonix Inc | 2 | $46 |
| Alfasigma USA, Inc. | 2 | $44 |
| Zimmer Biomet | 1 | $41 |
| Polynovo North America LLC | 2 | $40 |
| Paragon 28, Inc. | 1 | $34 |
| Merck | 2 | $28 |
| Medshape, Inc. | 1 | $27 |
| Kairos Surgical Inc | 1 | $25 |
| Reprise Biomedical, Inc. | 1 | $25 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $24 |
| Celularity Inc. | 1 | $21 |
| GRT US Holding, Inc. | 1 | $18 |
| DJO, LLC | 1 | $13 |
| Biocomposites Inc | 1 | $13 |
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.
- NUZYRA$25,378
- Stravix$333
- ASNIS$305
- ORTHOLOC 2 LAPIFUSE$249
- CERAMENTBONE VOID FILLER$144
- CERAMENT G$144
- PROstep$143
- PROPHECY$143
- SALVATION$142
- LAPIPLASTY SYSTEM 1$142
- AUGMENT$132
- ORTHOLOC 3DI$118
- PRIME SERIES$113
- NA$112
- Grafix$111
- GrafixPL$111
- BILAYER WOUND MATRIX (BWM)$110
- INTEGRA WOUND MATRIX (IWM)$110
- AMNIOEXCEL$110
- IDRT$110
How this compares
$32,772 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Doxycycline Hyclate | 33 | $213 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $212 |
| Ketoconazole | 11 | $132 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $118 |
| Oxycodone Hcl | 20 | $105 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Plymouth
- Nassim TabriziPlymouth$8K
- Ajaypaul SinghPlymouth$4K
- Harry SchneiderCambridge$174K
- Craig LareauSpringfield$115K
- Jeremy CookCambridge$111K
- David SipalaBrighton$94K
- Philip BasileCambridge$90K
- Michael SgangaNatick$90K
- Joseph FleckNorth Chelmsford$35K
- Richard BakerHyannis$16K
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.