Pedro Cosculluela, MD
Foot and Ankle Surgery · Austin, TXNPI 1588693386
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $46,628 of the $69,298 with a category attached, or 67.3%. Ortho Solutions Inc accounts for 90.4% of it on its own, with 24 other manufacturers making up the rest. 2025 is the largest year on record at $30,752, 5.7 times the $5,421 reported in 2019. Among foot and ankle surgery clinicians in TX 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 173 payments — averaging $400.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Solutions Inc$63K
- Stryker$2K
- Acumed LLC$924
- Medinc Of Texas$923
- Zimmer Biomet$524
- Ossur Americas, Inc.$503
- plus $2K from 19 others
What the payments were for
- Royalty or licence$46,62867%
- Consulting fees$14,14920%
- Travel & lodging$1,4122%
- Food & beverage$6,2289%
- Education$8821%
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 |
|---|---|---|
| Ortho Solutions Inc | 28 | $62,670 |
| Stryker(2 entities) | 37 | $1,795 |
| Acumed LLC | 5 | $924 |
| Medinc Of Texas | 2 | $923 |
| Zimmer Biomet | 14 | $524 |
| Ossur Americas, Inc. | 49 | $503 |
| Smith+Nephew | 6 | $413 |
| Orthalign Inc | 2 | $228 |
| Abbott | 4 | $213 |
| Linvatec Corporation | 1 | $140 |
| Bone Support Inc. | 1 | $136 |
| Johnson & Johnson | 7 | $134 |
| Medartis Inc. | 1 | $125 |
| Core Surgical Group | 3 | $117 |
| Sanara Medtech Inc. | 1 | $80 |
| Arthrex | 2 | $79 |
| Osteocentric Technologies, Inc. | 1 | $57 |
| Osteomed LLC | 1 | $52 |
| Bioventus LLC | 2 | $50 |
| Mimedx Group, Inc. | 1 | $37 |
| Medline Industries LP | 1 | $26 |
| Integra Lifesciences Corporation | 1 | $26 |
| Ferring Pharmaceuticals Inc. | 1 | $18 |
| Extremity Medical | 1 | $15 |
| Pacira Therapeutics, Inc. | 1 | $12 |
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.
- Ankle Plating System$704
- Forefoot/Midfoot Plating System$704
- Calcaneal Plating System$704
- Fibula Rod System$704
- Acutrak Headless Compression Screw System$704
- INFINITY ADAPTIS$441
- INBONE$413
- 7 X 23MM CITRELOCK IMPLANT$324
- CITREFIX$324
- ORTHALIGN PLUS$228
- Avenir$198
- EASYFUSE$166
- INFINITY$158
- PROstep$158
- ORTHOLOC 2 LAPIFUSE$158
- PROCLAIM$154
- Ankle Plates 3$150
- EVOS$147
- Taylor Spatial Frame$147
- TRIGEN InterTAN$147
How this compares
$69,298 in reported general payments places this provider in the 90th percentile of 684 foot and ankle surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $170 |
| Ondansetron OdtOndansetron | 21 | $159 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Austin
- Mark DaltonAustin$1.9M
- Andrew EbertAustin$82K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
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.