Regina Fiacco
Foot & Ankle Surgery · Anchorage, AKNPI 1871955591
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (49.0%), food and beverage and education — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Stryker at 39.9% of the total. Reporting peaked in 2022 at $7,512 and has fallen 87.4% since, to $947 in 2025. Among foot & ankle surgery clinicians in AK with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 187 payments — averaging $93.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$7K
- Paragon 28, Inc.$3K
- Arthrex$2K
- Zimmer Biomet$1K
- Summit Surgical Corp.$1K
- Smith+Nephew$901
- plus $3K from 20 others
What the payments were for
- Travel & lodging$8,59249%
- Food & beverage$6,45237%
- Education$2,50214%
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 | 64 | $7,009 |
| Paragon 28, Inc. | 10 | $2,503 |
| Arthrex | 6 | $1,741 |
| Zimmer Biomet | 10 | $1,232 |
| Summit Surgical Corp. | 1 | $1,200 |
| Smith+Nephew | 30 | $901 |
| Alaska Medical Technologies, LLC | 5 | $799 |
| Organogenesis Inc. | 17 | $573 |
| Bioventus LLC | 13 | $281 |
| Integra Lifesciences Corporation | 3 | $254 |
| Acumed LLC | 5 | $167 |
| Flower Orthopedics Coporation | 1 | $143 |
| Treace Medical Concepts, Inc. | 5 | $128 |
| Innovation Technologies Inc | 1 | $122 |
| Tactile Systems Technology Inc | 4 | $114 |
| Triad Life Sciences Inc. | 1 | $80 |
| Linvatec Corporation | 1 | $75 |
| Axogen | 1 | $41 |
| Amgen | 2 | $40 |
| Mimedx Group, Inc. | 1 | $30 |
| Orthofix Medical, Inc. | 1 | $26 |
| Baudax Bio Inc. | 1 | $22 |
| Medtronic | 1 | $20 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Abbott | 1 | $15 |
| Johnson & Johnson | 1 | $13 |
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.
- PROstep$2,293
- Product Portfolio$2,100
- INBONE$1,267
- INFINITY$906
- InCore Lapidus$779
- VARIAX$753
- PuraPly$226
- Trabecular Metal (TM)$226
- Stravix$149
- PSI IMPLANTS$141
- Irrisept$122
- ORTHOLOC 3DI$109
- GORILLA$109
- BILAYER WOUND MATRIX (BWM)$106
- INTEGRA WOUND MATRIX (IWM)$106
- AMNIOEXCEL$106
- IDRT$106
- FLOWABLE$106
- ORTHOLOC 2 LAPIFUSE$102
- CITREFIX$102
How this compares
$17,545 in reported general payments places this provider in the 95th percentile of 21 foot & ankle surgery providers in Alaska.
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 |
|---|---|---|
| Imiquimod | 17 | $864 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $89 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Anchorage
- Sheryse MobleyAnchorage$15K
- Rabun FoxAnchorage$8K
- Eugene ChangAnchorage$7K
- Chloe MulliganAnchorage$4K
- Sean DunleavyAnchorage$4K
- Jennifer JansmaAnchorage$2K
- Jared KernAnchorage$2K
- Namory BagayokoAnchorage$1K
- Caitlin KoellingAnchorage$913
- Matt HeilalaAnchorage$679
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.