Paul Nasca, DPM
Foot & Ankle Surgery · Cheektowaga, NYNPI 1639192677
Payments from drug & device makers
Across 99 payments — averaging $56.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$3K
- Organogenesis Inc.$391
- Smith+Nephew$361
- Kerecis Limited$326
- Integra Lifesciences Corporation$239
- Medtronic$192
- plus $1K from 16 others
What the payments were for
- Travel & lodging$1,26623%
- Food & beverage$3,77368%
- Education$3176%
- Other$2154%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 31 | $2,893 |
| Organogenesis Inc. | 16 | $391 |
| Smith+Nephew | 17 | $361 |
| Kerecis Limited | 2 | $326 |
| Integra Lifesciences Corporation | 3 | $239 |
| Medtronic | 1 | $192 |
| Bioventus LLC | 2 | $168 |
| Paratek Pharmaceuticals, Inc. | 3 | $164 |
| Orthofix Medical, Inc. | 1 | $143 |
| Solventum Corporation | 4 | $130 |
| Stryker | 4 | $116 |
| Polynovo North America LLC | 1 | $90 |
| Acera Surgical, Inc. | 1 | $80 |
| Mimedx Group, Inc. | 3 | $73 |
| Paragon 28, Inc. | 3 | $63 |
| Medela LLC | 1 | $35 |
| Tactile Systems Technology Inc | 1 | $29 |
| Convatec Inc. | 1 | $18 |
| Advanced Oxygen Therapy Inc. | 1 | $18 |
| Melinta Therapeutics, LLC | 1 | $16 |
| Aroa Biosurgery Incorporated | 1 | $15 |
| Arthrosurface Incorporated | 1 | $11 |
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.
- Lapiplasty System$2,132
- Kerecis SurgiClose$1,268
- Kerecis GraftGuide$317
- ACell$215
- HawkOne$192
- Exogen Ultrasound Bone Healing System$150
- AccelStim$143
- Physio-Stim$143
- NUZYRA$125
- Apligraf$120
- TMC SPEEDMTP$114
- Santyl$110
- REGRANEX$110
- Oasis$110
How this compares
$5,571 in reported general payments places this provider in the 70th percentile of 652 foot & ankle surgery providers in New York.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 30 | $466 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 38 | $411 |
| SsdSilver Sulfadiazine | 40 | $356 |
| Doxycycline Hyclate | 13 | $157 |
| Meloxicam | 30 | $136 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Cheektowaga
- James McWilliamHarrison$4.7M
- Jonathan DelandNew York$4.1M
- George Vitole Roy$2.5M
- Constantine DemetracopoulosNew York$888K
- Anne JohnsonNew York$815K
- Scott EllisNew York$644K
- John KennedyNew York$613K
- Michael KellerKingston$532K
- Judith BaumhauerRochester$365K
- Edward AzarBrooklyn$224K
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.