Richard Grebosky
Foot & Ankle Surgery · Somerset, PANPI 1912960394
Payments from drug & device makers
What this record shows
This record is dominated by other: $11,648 of the $17,296 with a category attached, or 67.3%. Smith+Nephew accounts for 67.7% of it on its own, with 25 other manufacturers making up the rest. 2025 is the largest year on record at $11,648, 7.5 times the $1,549 reported in 2019. Among foot & ankle surgery clinicians in PA 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 86 payments — averaging $201.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$12K
- Treace Medical Concepts, Inc.$5K
- Amgen$210
- Johnson & Johnson$126
- Exact Sciences$80
- Dexcom, Inc.$73
- plus $565 from 20 others
What the payments were for
- Travel & lodging$3,24419%
- Food & beverage$2,40514%
- Other$11,64867%
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 | 5 | $11,709 |
| Treace Medical Concepts, Inc. | 34 | $4,533 |
| Amgen(2 entities) | 10 | $210 |
| Johnson & Johnson | 2 | $126 |
| Exact Sciences | 4 | $80 |
| Dexcom, Inc. | 4 | $73 |
| Ossio Inc | 1 | $49 |
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 3 | $49 |
| Midmark Corporation | 1 | $42 |
| Abbott | 2 | $42 |
| Paratek Pharmaceuticals, Inc. | 2 | $40 |
| Tactile Systems Technology Inc | 2 | $39 |
| Novo Nordisk | 2 | $37 |
| GRT US Holding, Inc. | 1 | $34 |
| Averitas Pharma Inc. | 1 | $28 |
| Osiris Therapeutics Inc. | 2 | $26 |
| Innovation Technologies Inc | 1 | $23 |
| Organogenesis Inc. | 1 | $21 |
| Merck | 1 | $21 |
| Bayer | 1 | $21 |
| AstraZeneca | 1 | $21 |
| Seqirus USA Inc | 1 | $18 |
| Kerecis Limited | 1 | $18 |
| Novartis | 1 | $17 |
| Sanofi-aventis U.S. LLC | 1 | $11 |
| Orthofix Medical, Inc. | 1 | $7 |
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.
How this compares
$17,296 in reported general payments places this provider in the 90th percentile of 575 foot & ankle surgery providers in Pennsylvania.
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 |
|---|---|---|
| Ketoconazole | 74 | $1,871 |
| Gabapentin | 102 | $1,858 |
| Terbinafine Hcl | 137 | $1,094 |
| Allopurinol | 76 | $865 |
| Pregabalin | 17 | $671 |
| Triamcinolone Acetonide | 24 | $413 |
| Diclofenac Sodium | 27 | $333 |
| Fluocinonide | 12 | $316 |
| Cephalexin | 39 | $240 |
| Meloxicam | 48 | $201 |
| Methylprednisolone | 16 | $117 |
| Clindamycin Hcl | 13 | $103 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $101 |
| Levofloxacin | 13 | $43 |
| Prednisone | 18 | $33 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Somerset
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- Jason MillerMalvern$501K
- James SferraCranberry Township$451K
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.