Michal Szpara, DPM
Foot & Ankle Surgery · Pawtucket, RINPI 1225551187
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (49.3%), speaking fees and food and beverage — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Smith+Nephew at 51.5% of the total. Reporting peaked in 2024 at $11,722 and has fallen 89.1% since, to $1,278 in 2025. Among foot & ankle surgery clinicians in RI 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 192 payments — averaging $192.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$19K
- Gramercy Extremity Orthopedics LLC$13K
- Stryker$1K
- Kairos Surgical Inc$762
- International Life Sciences$712
- Misonix Inc$282
- plus $2K from 18 others
Across 5 payments — averaging $3000.00 each. An ownership or investment interest held by the physician or an immediate family member.
- Gramercy Extremity Orthopedics LLC$15K
What the payments were for
- Consulting fees$18,23849%
- Speaking & faculty fees$9,67526%
- Travel & lodging$1,4584%
- Food & beverage$6,84719%
- Education$7422%
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 |
|---|---|---|
| Smith+Nephew | 102 | $19,028 |
| Gramercy Extremity Orthopedics LLC | 18 | $13,198 |
| Stryker(2 entities) | 23 | $1,437 |
| Kairos Surgical Inc | 2 | $762 |
| International Life Sciences | 1 | $712 |
| Misonix Inc | 3 | $282 |
| Orthofix Medical, Inc. | 6 | $266 |
| Polynovo North America LLC | 11 | $218 |
| Integra Lifesciences Corporation | 1 | $125 |
| Cardiovascular Systems Inc. | 1 | $123 |
| Forma Medical | 1 | $114 |
| Organogenesis Inc. | 2 | $113 |
| Johnson & Johnson | 1 | $103 |
| Paratek Pharmaceuticals, Inc. | 6 | $101 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $100 |
| Bioventus LLC | 4 | $63 |
| ANI Pharmaceuticals, Inc. | 2 | $52 |
| Davol Inc. | 1 | $36 |
| Axogen | 1 | $25 |
| Zimmer Biomet | 1 | $23 |
| Medshape, Inc. | 1 | $20 |
| Bone Support Inc. | 1 | $20 |
| KCI USA, Inc. | 1 | $19 |
| Treace Medical Concepts, Inc. | 1 | $19 |
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.
- EVOS$10,247
- Cadence$7,352
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$7,160
- Panta 2$4,696
- Peri-Loc$4,575
- Integra XT$4,575
- TRIGEN InterTAN$3,259
- TSF$2,875
- EVOS MINI$2,720
- MemoFix Super Elastic Nitinol Staple System$2,500
- Large QWIX$2,500
- Taylor Spatial Frame$2,351
- ILIZAROV$1,820
- TRIGEN$1,100
- ANCHORAGE$491
- HOFFMANN$491
- STAR$382
- Distal Fibula Plating System$350
- AUGMENT$239
- ORTHOLOC 3DI$232
How this compares
$36,960 in reported general payments places this provider in the 90th percentile of 58 foot & ankle surgery providers in Rhode Island.
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 |
|---|---|---|
| Ibuprofen | 28 | $238 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 38 | $238 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $64 |
| Oxycodone Hcl | 15 | $60 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Pawtucket
- Matthew LawrencePawtucket$38K
- James AppletonPawtucket$10K
- Aaron ShemenskiPawtucket$7K
- Ashley MastrangeloPawtucket$7K
- Nicole CurreriPawtucket$2K
- Melvin ManciniPawtucket$586
- Christopher DigiovanniProvidence$665K
- Anthony MechrefeWarwick$92K
- Douglas GlodEast Providence$74K
- Michael ReuterBristol$34K
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.