Raffaella Buffolino, DPM
Foot & Ankle Surgery · Flushing, NYNPI 1871727024
Payments from drug & device makers
Across 90 payments — averaging $109.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$3K
- Kerecis Limited$3K
- Polaris Technology Solutions LLC$1K
- Treace Medical Concepts, Inc.$1K
- Acumed LLC$538
- Integra Lifesciences Corporation$168
- plus $733 from 13 others
What the payments were for
- Consulting fees$1,08011%
- Travel & lodging$4,27344%
- Food & beverage$3,26433%
- Education$1,20012%
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 | 56 | $3,361 |
| Kerecis Limited | 2 | $2,739 |
| Polaris Technology Solutions LLC | 1 | $1,200 |
| Treace Medical Concepts, Inc. | 12 | $1,078 |
| Acumed LLC | 3 | $538 |
| Integra Lifesciences Corporation | 1 | $168 |
| Nevro Corp. | 1 | $137 |
| Acera Surgical, Inc. | 1 | $133 |
| Access Pro Medical, LLC | 2 | $130 |
| Stryker | 1 | $67 |
| Paragon 28, Inc. | 1 | $61 |
| Linvatec Corporation | 1 | $45 |
| Orthofix Medical, Inc. | 1 | $33 |
| Cumberland Pharmaceuticals, Inc. | 2 | $30 |
| Organogenesis Inc. | 1 | $27 |
| Medtronic | 1 | $22 |
| Mimedx Group, Inc. | 1 | $19 |
| Paratek Pharmaceuticals, Inc. | 1 | $16 |
| Melinta Therapeutics, LLC | 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.
- Kerecis Omega3 Marigen$10,096
- Kerecis Omega3 SurgiClose$3,311
- REGRANEX$1,080
- Grafix$935
- GRAFIX PL$935
- Oasis$935
- Versajet$935
- STRAVIX PL$935
- Lapiplasty System$542
- INTEGRA$505
- Forefoot/Midfoot Plating System$462
- Fibula Rod System$462
- Acutrak Headless Compression Screw System$462
- KVAC$435
- Kerecis Omega3 GraftGuide$286
- INTEGRA DERMAL REGENERATION TEMPLATE$168
- PRIMATRIX$168
- Senza$137
- Restrata Wound Matrix$133
- TMC PSI CUT GUIDE SYSTEM$132
How this compares
$9,817 in reported general payments places this provider in the 80th 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 | 42 | $1,938 |
| Ketoconazole | 51 | $1,481 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 40 | $498 |
| Mupirocin | 18 | $321 |
| Gabapentin | 21 | $232 |
| Terbinafine Hcl | 17 | $213 |
| Methylprednisolone | 19 | $147 |
| Ammonium Lactate | 11 | $138 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 19 | $131 |
| Doxycycline Hyclate | 19 | $124 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 15 | $90 |
| Ibuprofen | 17 | $44 |
| Tramadol Hcl | 20 | $40 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Flushing
- 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.