Paul Cooper, MD
Foot and Ankle Surgery · Washington, DCNPI 1548269731
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $118,227 of the $186,332 with a category attached, or 63.4%. 16 manufacturers reported payments, led by Integra Lifesciences Corporation at 36.0% of the total. Reporting peaked in 2019 at $94,808 and has fallen 93.1% since, to $6,576 in 2025. Among foot and ankle surgery clinicians in DC 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 151 payments — averaging $1233.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$67K
- Stryker$56K
- Smith+Nephew$49K
- Oxford Performance Materials, Inc.$7K
- Zimmer Biomet$2K
- Medshape, Inc.$2K
- plus $2K from 10 others
Across 3 payments — averaging $57,333 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Smart-surgical Inc. Dba Burst Biologics$172K
Across 2 payments — averaging $3353.43 each. An ownership or investment interest held by the physician or an immediate family member.
- Oxford Performance Materials, Inc.$7K
What the payments were for
- Royalty or licence$118,22763%
- Consulting fees$61,37333%
- Grants$1,0941%
- Travel & lodging$1,5341%
- Food & beverage$4,1042%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 9 | $67,020 |
| Stryker | 79 | $56,468 |
| Smith+Nephew | 20 | $49,294 |
| Oxford Performance Materials, Inc. | 4 | $7,442 |
| Zimmer Biomet | 12 | $2,276 |
| Medshape, Inc. | 2 | $2,275 |
| Ossio Inc | 4 | $452 |
| Medtronic(2 entities) | 11 | $412 |
| Linvatec Corporation | 3 | $348 |
| Axogen | 1 | $137 |
| Restor3d, Inc. | 1 | $74 |
| Encore Medical, LP | 1 | $43 |
| Embody, Inc. | 1 | $36 |
| ERMI LLC | 1 | $21 |
| Siemens Medical Solutions USA, Inc. | 1 | $18 |
| Sanara Medtech Inc. | 1 | $17 |
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.
- CADENCE ANKLE REPLACEMENT SYSTEM$51,233
- VLP Mini-MOD$43,093
- VLP-Foot$36,162
- T2$33,110
- Cadence$10,207
- VARIAX$8,612
- STAR$8,500
- HOFFMANN$6,130
- External Fixation System$5,581
- AUGMENT INJECTABLE$5,161
- ASNIS$4,852
- EXTERNAL FIXATION$4,547
- PROPHECY$4,500
- PROstep$4,500
- ORTHOLOC 3DI$2,250
- VALOR$2,250
- SALVATION$2,250
- Versanail$1,692
- TSF$1,266
- TRITANIUM$173
How this compares
$186,332 in reported general payments places this provider in the 95th percentile of 23 foot and ankle surgery providers in District of Columbia.
See all foot and ankle surgery providers in District of Columbia →
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.
Other foot and ankle surgery in Washington
- John SteinbergWashington$166K
- Ali Rahnama VaghefWashington$132K
- Jayson AtvesWashington$24K
- Shelton McKenzieWashington$22K
- Bilal LouzatiWashington$18K
- Ali QadriWashington$17K
- Alex MattiaWashington$13K
- Emily DurranceWashington$9K
- Selin RuggieriWashington$7K
- Caitlin ZarickWashington$5K
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.