Paul Ledesma
Foot & Ankle Surgery · Scottsdale, AZNPI 1629056981
Payments from drug & device makers
Across 283 payments — averaging $126.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Convatec Inc.$28K
- Triad Life Sciences Inc.$1K
- Musculoskeletal Transplant Foundation Inc.$975
- AbbVie$901
- Stryker$517
- Electronic Waveform Lab, Inc.$414
- plus $4K from 43 others
What the payments were for
- Travel & lodging$2,1436%
- Food & beverage$5,66316%
- Education$180%
- Gifts$1000%
- Other$28,00078%
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.
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.
- InnovaMatrix AC$29,168
- PuraPly$268
- KRYSTEXXA$231
- NUZYRA$125
How this compares
$35,924 in reported general payments places this provider in the 90th percentile of 291 foot & ankle surgery providers in Arizona.
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 & ankle surgery in Scottsdale
- Jeffrey McAlisterScottsdale$653K
- Bruce WerberScottsdale$177K
- David LarsonScottsdale$42K
- Ryan ScottPhoenix$1.1M
- Jaminelli BanksPhoenix$974K
- Jeffrey HolmesPhoenix$573K
- Myron HansenChandler$480K
- Scott MalingMesa$382K
- Melissa GalliPhoenix$331K
- Geoffrey LandisTucson$307K
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.