Nicholas Varakin, DPM
Primary Podiatric Medicine · Greenville, SCNPI 1013408210
Payments from drug & device makers
What this record shows
17 manufacturers reported payments, led by Liberty Surgical Inc. at 53.5% of the total. Reporting peaked in 2021 at $1,211 and has fallen 80.7% since, to $234 in 2025.
Across 42 payments — averaging $53.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Liberty Surgical Inc.$1K
- Amgen$279
- Paratek Pharmaceuticals, Inc.$148
- ANI Pharmaceuticals, Inc.$135
- Stryker$100
- Organogenesis Inc.$98
- plus $295 from 11 others
What the payments were for
- Food & beverage$1,06547%
- Education$1,20053%
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 |
|---|---|---|
| Liberty Surgical Inc. | 2 | $1,211 |
| Amgen(2 entities) | 7 | $279 |
| Paratek Pharmaceuticals, Inc. | 7 | $148 |
| ANI Pharmaceuticals, Inc. | 5 | $135 |
| Stryker | 4 | $100 |
| Organogenesis Inc. | 4 | $98 |
| Medtronic | 3 | $52 |
| Peerless Surgical Inc. | 1 | $50 |
| Abbott | 1 | $42 |
| Vertex | 1 | $29 |
| Treace Medical Concepts, Inc. | 1 | $24 |
| Bioventus LLC | 1 | $20 |
| Paragon 28, Inc. | 1 | $18 |
| Sebela Pharmaceuticals Inc. | 1 | $16 |
| Innovation Technologies Inc | 1 | $15 |
| Advanced Oxygen Therapy Inc. | 1 | $14 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
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.
- KRYSTEXXA$125
How this compares
Too few primary podiatric medicine providers in South Carolinato place this figure against a meaningful peer group, so we don't.
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 | 82 | $3,022 |
| CiclopiroxCiclopirox Olamine | 110 | $1,621 |
| Fluorouracil | 14 | $854 |
| Mupirocin | 46 | $404 |
| Ketoconazole | 11 | $169 |
| Cephalexin | 12 | $38 |
| Amoxicillin | 12 | $17 |
Paid to pharmacies, not to this prescriber.
Other primary podiatric medicine in Greenville
- Subodh ChoudharyGreenville$9K
- Constantine CanoutasGreenville$6K
- Sarah SchipperGreenville$3K
- Gerard RainerGreenville$89
- Robert EzewuiroLancaster$21K
- Katlin O'HaraLancaster$6K
- Michael JordanSpartanburg$6K
- Matthew FernandezCharleston$5K
- William MyersConway$4K
- Bradley LindstromMauldin$2K
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.