Paulina Piekarska, DPM
Foot & Ankle Surgery · Norwalk, CTNPI 1861998171
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.9%), travel and lodging and education — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Stryker at 33.9% of the total. Reporting peaked in 2022 at $4,553 and has fallen 53.5% since, to $2,119 in 2025. Among foot & ankle surgery clinicians in CT with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 88 payments — averaging $149.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Arthrex$3K
- Gramercy Extremity Orthopedics LLC$1K
- Treace Medical Concepts, Inc.$1K
- International Life Sciences$1K
- Polaris Technology Solutions LLC$611
- plus $1K from 9 others
What the payments were for
- Consulting fees$9507%
- Travel & lodging$3,75929%
- Food & beverage$6,03746%
- Education$2,40018%
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 |
|---|---|---|
| Stryker | 37 | $4,450 |
| Arthrex | 12 | $3,162 |
| Gramercy Extremity Orthopedics LLC | 4 | $1,384 |
| Treace Medical Concepts, Inc. | 7 | $1,292 |
| International Life Sciences | 5 | $1,212 |
| Polaris Technology Solutions LLC | 8 | $611 |
| Zimmer Biomet | 2 | $285 |
| Flower Orthopedics Coporation | 1 | $193 |
| Bioventus LLC | 3 | $186 |
| Bone Support Inc. | 1 | $113 |
| Orthofix Medical, Inc. | 3 | $84 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $67 |
| Smith+Nephew | 2 | $59 |
| Axogen | 1 | $32 |
| Vertex | 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.
- PROPHECY$822
- PROstep$627
- Lapiplasty System$533
- DART-FIRE$516
- TMC NANOPLASTY SYSTEM$509
- STAR$508
- VARIAX$455
- FLEXBAND$290
- AUGMENT INJECTABLE$280
- PHALINX$172
- PANGEA$150
- Subchondroplasty Knee Kit$150
- Stratum Foot Plating System$135
- MOTIONSENSE DIGITAL GONIOMETER$133
- SALVATION$130
- HOFFMANN$130
- INFINITY ADAPTIS$128
- TMC SPEEDMTP$125
- ASNIS$119
- Exogen Ultrasound Bone Healing System$119
How this compares
$13,145 in reported general payments places this provider in the 90th percentile of 89 foot & ankle surgery providers in Connecticut.
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 |
|---|---|---|
| Methylprednisolone | 110 | $748 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $132 |
| Doxycycline Hyclate | 14 | $113 |
| Oxycodone Hcl | 16 | $109 |
| Naproxen | 21 | $107 |
| Meloxicam | 27 | $68 |
| Prednisone | 15 | $50 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Norwalk
- Jossie AbrahamNorwalk$152K
- Harris GreenbergerNorwalk$3K
- Marisa Dematteo-SantaNorwalk$1K
- Thomas McDonaldEnfield$241K
- Gabriel GambardellaBloomfield$99K
- David CaminearHamden$47K
- James DejesusNaugatuck$40K
- William ProbascoFairfield$26K
- Adebola AdelekeMiddletown$24K
- Rachel AlbrightDarien$14K
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.