Michael Smith
Foot & Ankle Surgery · Winter Park, FLNPI 1902975105
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $20,859 of the $30,358 with a category attached, or 68.7%. Integra Lifesciences Corporation accounts for 96.5% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2023 at $13,502 and has fallen 83.0% since, to $2,296 in 2025. Among foot & ankle surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 144 payments — averaging $210.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$29K
- Stryker$141
- Sanara Medtech Inc.$133
- Melinta Therapeutics, LLC$125
- In2bones USA, LLC$120
- Trilliant Surgical LLC.$107
- plus $439 from 9 others
What the payments were for
- Consulting fees$20,85969%
- Speaking & faculty fees$2,7389%
- Travel & lodging$2,1267%
- Food & beverage$4,63615%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 129 | $29,293 |
| Stryker | 2 | $141 |
| Sanara Medtech Inc. | 1 | $133 |
| Melinta Therapeutics, LLC | 1 | $125 |
| In2bones USA, LLC | 1 | $120 |
| Trilliant Surgical LLC. | 1 | $107 |
| Treace Medical Concepts, Inc. | 1 | $100 |
| Medtronic | 1 | $82 |
| Z-medica, LLC | 1 | $77 |
| Solventum Corporation | 1 | $65 |
| W. L. Gore & Associates, Inc. | 1 | $60 |
| KCI USA, Inc. | 1 | $20 |
| Sunovion Pharmaceuticals Inc. | 1 | $14 |
| Lifenet Health | 1 | $12 |
| Kerecis Limited | 1 | $9 |
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.
- INTEGRA$38,150
- INTEGRA WOUND MATRIX (IWM)$9,886
- INTEGRA MESHED BILAYER WOUND MATRIX$5,215
- PRIMATRIX$4,990
- BILAYER WOUND MATRIX (BWM)$4,671
- IDRT$4,671
- FLOWABLE$4,671
- INTEGRA DERMAL REGENERATION TEMPLATE$2,690
- AMNIOEXCEL$452
- INTEGRA FLOWABLE WOUND MATRIX$265
- CellerateRx$133
- Baxdela$125
- TriWay TTC Nail$120
- PitStop$120
- i2b Bead Kit$120
- ClearGuard$120
- CoLag$120
- Gridlock Ankle$107
- TMC NANOPLASTY SYSTEM$100
How this compares
$30,358 in reported general payments places this provider in the 90th 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 Winter Park
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
- Ettore VulcanoMiami Beach$411K
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.