Michael Tarbox
Foot & Ankle Surgery · Roulette, PANPI 1457363590
Payments from drug & device makers
What this record shows
The money is spread across several categories — other (42.9%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Convatec Inc. at 43.2% of the total. 2025 is the largest year on record at $18,071, more than ten times the $337 reported in 2019. Among foot & ankle surgery clinicians in PA 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 126 payments — averaging $258.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Convatec Inc.$14K
- Treace Medical Concepts, Inc.$14K
- Arthrex$2K
- Linvatec Corporation$1K
- Novus Surgical Solutions LLC$300
- Organogenesis Inc.$276
- plus $1K from 16 others
What the payments were for
- Consulting fees$9,22528%
- Travel & lodging$3,68411%
- Food & beverage$4,44914%
- Education$1,2754%
- Other$14,00043%
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 |
|---|---|---|
| Convatec Inc. | 7 | $14,110 |
| Treace Medical Concepts, Inc. | 50 | $13,868 |
| Arthrex | 9 | $1,542 |
| Linvatec Corporation | 9 | $1,143 |
| Novus Surgical Solutions LLC | 1 | $300 |
| Organogenesis Inc. | 16 | $276 |
| Johnson & Johnson | 6 | $191 |
| Stryker | 2 | $176 |
| Anika Therapeutics, Inc. | 2 | $150 |
| Smith+Nephew | 4 | $118 |
| Abbott | 2 | $102 |
| Flower Orthopedics Coporation | 1 | $97 |
| Extremity Medical | 1 | $92 |
| In2bones USA, LLC | 2 | $84 |
| Ortho Solutions Inc | 1 | $78 |
| Acumed LLC | 2 | $72 |
| Arthrosurface Incorporated | 2 | $65 |
| Additive Orthopaedics, LLC | 2 | $51 |
| Kerecis Limited | 2 | $36 |
| Paratek Pharmaceuticals, Inc. | 2 | $33 |
| Pfizer | 1 | $32 |
| Orthofix Medical, Inc. | 2 | $18 |
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.
- InnovaMatrix AC$14,000
- Lapiplasty System$8,985
- LAPIPLASTY SYSTEM 1$3,642
- IN2BONES USA$691
- ALLOGRAFT TISSUE$139
- BioBrace 23mm$139
- ORTHOLOC 2 LAPIFUSE$112
How this compares
$32,633 in reported general payments places this provider in the 90th percentile of 575 foot & ankle surgery providers in Pennsylvania.
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 |
|---|---|---|
| Pregabalin | 51 | $2,833 |
| Terbinafine Hcl | 138 | $1,506 |
| Gabapentin | 53 | $747 |
| Ketoconazole | 25 | $676 |
| Itraconazole | 22 | $569 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 80 | $505 |
| Duloxetine Hcl | 28 | $364 |
| Doxycycline Hyclate | 63 | $362 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 26 | $246 |
| Furosemide | 21 | $179 |
| Methylprednisolone | 24 | $152 |
| Prednisone | 31 | $127 |
| Meloxicam | 19 | $97 |
| Levofloxacin | 13 | $64 |
| Cephalexin | 14 | $63 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Roulette
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- Jason MillerMalvern$501K
- James SferraCranberry Township$451K
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.