Nicholas Romansky, DPM
Foot & Ankle Surgery · Media, PANPI 1912992991
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 13 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Next Science LLC at 38.3% of the total. Reporting peaked in 2023 at $220 and has fallen 89.1% since, to $24 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in PA, where the typical reported total is $2,232.
Across 13 payments — averaging $52.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Next Science LLC$263
- Arthrosurface Incorporated$105
- Stryker$86
- Fusion Orthopedics USA, LLC$61
- AbbVie$55
- Bioventus LLC$30
- plus $87 from 5 others
What the payments were for
- Food & beverage$687100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Next Science LLC | 2 | $263 |
| Arthrosurface Incorporated | 1 | $105 |
| Stryker | 1 | $86 |
| Fusion Orthopedics USA, LLC | 1 | $61 |
| AbbVie | 2 | $55 |
| Bioventus LLC | 1 | $30 |
| AstraZeneca | 1 | $24 |
| Averitas Pharma Inc. | 1 | $21 |
| Organogenesis Inc. | 1 | $16 |
| Amgen | 1 | $13 |
| Zyla Life Sciences, 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.
- SurgX$263
- Xperience$263
- BlastX$263
- HemiCAP MTP Resurfacing$105
How this compares
$687 in reported general payments places this provider in the 25th 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 |
|---|---|---|
| Diclofenac Sodium-MisoprostolDiclofenac Sodium/Misoprostol | 23 | $4,356 |
| Gabapentin | 103 | $2,367 |
| Nabumetone | 72 | $1,788 |
| Duloxetine Hcl | 38 | $1,671 |
| Diclofenac Potassium | 50 | $1,396 |
| Methylprednisolone | 177 | $1,124 |
| Celecoxib | 20 | $933 |
| Allopurinol | 40 | $777 |
| Diclofenac Sodium | 38 | $598 |
| Mupirocin | 38 | $302 |
| Vitamin D2Ergocalciferol (Vitamin D2) | 13 | $297 |
| Terbinafine Hcl | 18 | $282 |
| Prednisone | 96 | $241 |
| Meloxicam | 26 | $234 |
| Cyclobenzaprine Hcl | 21 | $156 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Media
- Stephen SoondarMedia$18K
- 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
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.