Nicholas Todd
Foot & Ankle Surgery · Daly City, CANPI 1851695712
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $124,340 of the $194,413 with a category attached, or 64.0%. Arthrex accounts for 66.0% of it on its own, with 14 other manufacturers making up the rest. Reporting peaked in 2019 at $52,540 and has fallen 99.3% since, to $349 in 2025. Among foot & ankle surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 335 payments — averaging $580.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$128K
- Organogenesis Inc.$62K
- Evolution Surgical, Inc$3K
- Pacira Pharmaceuticals Incorporated$438
- Osiris Therapeutics Inc.$193
- Musculoskeletal Transplant Foundation Inc.$168
- plus $521 from 9 others
What the payments were for
- Consulting fees$48,45025%
- Speaking & faculty fees$124,34064%
- Travel & lodging$14,0667%
- Food & beverage$5,6803%
- Education$1,8771%
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 |
|---|---|---|
| Arthrex | 179 | $128,220 |
| Organogenesis Inc. | 122 | $61,774 |
| Evolution Surgical, Inc | 20 | $3,099 |
| Pacira Pharmaceuticals Incorporated | 2 | $438 |
| Osiris Therapeutics Inc. | 2 | $193 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $168 |
| Integra Lifesciences Corporation | 1 | $137 |
| Nevro Corp. | 1 | $104 |
| Paragon 28, Inc. | 1 | $100 |
| Johnson & Johnson | 1 | $57 |
| Sanara Medtech Inc. | 1 | $39 |
| Stryker | 1 | $25 |
| Smith+Nephew | 1 | $25 |
| Solventum Corporation | 1 | $20 |
| In2bones USA, LLC | 1 | $15 |
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.
- Apligraf$32,545
- Dermagraft$24,427
- Puraply/Affinity/NuTech$24,427
- Puraply Antimicrobial$15,240
- PuraPly$6,725
- PuraPly/Affinity$4,000
- DISTAL EXTREMITIES IMPLANTS HINDFOOT & ANKLE TTC NAIL$3,558
- DISTAL EXTREMITIES IMPLANTS IB LIGAMENT AUGMENTATION OTHER$3,558
- DISTAL EXTREMITIES IMPLANTS FRACTURE MANAGEMENT MINI FRAGMENT$3,558
- NuShield$1,175
- EXPAREL$438
- DISTAL EXTREMITIES IMPLANTS ANCHORS SWIVELOCKS$150
- DISTAL EXTREMITIES IMPLANTS SOFT TISSUE ACHILLES$150
- PURAPLY WOUND MATRIX$148
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$137
- CADENCE ANKLE REPLACEMENT SYSTEM$137
- HALLU-LOCK$137
- PANTA NAIL$137
- TOTAL FOOT SYSTEM$137
- Stravix$115
How this compares
$194,413 in reported general payments places this provider in the 95th percentile of 1,126 foot & ankle surgery providers in California.
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 |
|---|---|---|
| Ciclopirox | 23 | $852 |
| Cephalexin | 19 | $203 |
| Meloxicam | 22 | $103 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 20 | $95 |
| Gabapentin | 13 | $84 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Daly City
- Eric GizaSacramento$3.6M
- Thomas HarrisPasadena$3M
- Thomas ChangSanta Rosa$2M
- Michael CoughlinSan Francisco$1.6M
- Vladimir ZeetserEncino$677K
- Jason NowakRedding$526K
- Candice BradyCamarillo$462K
- Andrew HsuOrange$456K
- Eric TanLos Angeles$447K
- Joseph ParkBurbank$387K
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.