Peter Cuesta, DPM
Foot Surgery · Ocean Pines, MDNPI 1649242496
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 7 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 5 manufacturers reported payments, led by Smith+Nephew at 45.1% of the total. 2024 is the largest year on record at $151, 3.1 times the $48 reported in 2019. That places this record below the midpoint for foot surgery clinicians in MD, where the typical reported total is $289.
Across 7 payments — averaging $35.54 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$112
- Stryker$73
- Treace Medical Concepts, Inc.$40
- Tactile Systems Technology Inc$14
- Medela LLC$10
What the payments were for
- Food & beverage$249100%
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 |
|---|---|---|
| Smith+Nephew | 1 | $112 |
| Stryker | 2 | $73 |
| Treace Medical Concepts, Inc. | 2 | $40 |
| Tactile Systems Technology Inc | 1 | $14 |
| Medela LLC | 1 | $10 |
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.
- STRAVIX MESH$112
How this compares
$249 in reported general payments places this provider in the 40th percentile of 28 foot surgery providers in Maryland.
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 |
|---|---|---|
| JubliaEfinaconazole | 11 | $9,485 |
| Gabapentin | 172 | $3,504 |
| Pregabalin | 65 | $2,358 |
| Pentoxifylline | 82 | $2,126 |
| Terbinafine Hcl | 84 | $1,616 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 27 | $1,249 |
| Ammonium Lactate | 80 | $1,198 |
| Lidocaine | 15 | $1,001 |
| Ibuprofen | 66 | $466 |
| Etodolac | 18 | $392 |
| Betamethasone Valerate | 11 | $328 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 36 | $312 |
| Allopurinol | 18 | $259 |
| Cephalexin | 57 | $196 |
| Levofloxacin | 14 | $168 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Ocean Pines
- Jacob WynesBaltimore$214K
- Herman ZarateTakoma Park$57K
- Vesta McDowellBowie$39K
- Kiana TrentBaltimore$8K
- Ronald ShermanBaltimore$7K
- Aaron LewisLandover$3K
- Johny MotranHyattsville$3K
- Neil OhoraOlney$2K
- Mitchell BarberLaurel$1K
- Mark LevyRockville$1K
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.