Ross Girvan, DPM
Foot & Ankle Surgery · Fredericksburg, VANPI 1164449864
Payments from drug & device makers
What this record shows
34 manufacturers reported payments, led by Stryker at 36.7% of the total. Reporting peaked in 2019 at $3,724 and has fallen 80.4% since, to $728 in 2025.
Across 217 payments — averaging $50.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Medical Device Business Services, Inc.$3K
- Linvatec Corporation$832
- Johnson & Johnson$674
- Organogenesis Inc.$503
- Melinta Therapeutics, LLC$325
- plus $2K from 28 others
What the payments were for
- Travel & lodging$4,92045%
- Food & beverage$6,00255%
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 |
|---|---|---|
| Stryker(2 entities) | 51 | $4,012 |
| Medical Device Business Services, Inc. | 15 | $2,567 |
| Linvatec Corporation | 2 | $832 |
| Johnson & Johnson | 12 | $674 |
| Organogenesis Inc. | 16 | $503 |
| Melinta Therapeutics, LLC | 15 | $325 |
| Paratek Pharmaceuticals, Inc. | 24 | $311 |
| Amgen | 8 | $242 |
| Smith+Nephew | 17 | $236 |
| Convatec Inc. | 5 | $136 |
| Pacira Pharmaceuticals Incorporated | 4 | $131 |
| Bioventus LLC | 6 | $108 |
| Averitas Pharma Inc. | 5 | $107 |
| Checkpoint Surgical, Inc | 2 | $93 |
| Integra Lifesciences Corporation | 4 | $78 |
| Merck | 3 | $54 |
| Fortis Surgical, LLC | 2 | $49 |
| KCI USA, Inc. | 3 | $47 |
| Trice Medical, Inc. | 2 | $46 |
| Triad Life Sciences Inc. | 2 | $41 |
| Sebela Pharmaceuticals Inc. | 2 | $38 |
| Nabriva Therapeutics, PLC | 2 | $36 |
| Abbott | 2 | $35 |
| Medtronic | 2 | $29 |
| Heron Therapeutics, Inc. | 1 | $28 |
| Vertex | 1 | $26 |
| Ultragenyx Pharmaceutical Inc. | 2 | $26 |
| ANI Pharmaceuticals, Inc. | 1 | $26 |
| GRT US Holding, Inc. | 1 | $19 |
| Access Pro Medical, LLC | 1 | $16 |
| Aroa Biosurgery Incorporated | 1 | $15 |
| Dynasplint Systems Inc. | 1 | $14 |
| Arteriocyte Medical Systems, Inc. | 1 | $13 |
| Musculoskeletal Transplant Foundation Inc. | 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.
- PROstep$1,783
- EXTERNAL FIXATION$1,234
- VA-LCP PLATES & SCREWS$948
- LINVATEC EXTREMITIES$774
- PROPHECY$330
- INFINITY$230
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$226
- INFINITY ADAPTIS$136
- AUGMENT$115
- ANCHORAGE$113
How this compares
$10,922 in reported general payments places this provider in the 75th percentile of 260 foot & ankle surgery providers in Virginia.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $102 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $31 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Fredericksburg
- Shrunjay PatelFredericksburg$35K
- Michael BowenFredericksburg$18K
- Melissa GuloshFredericksburg$10K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
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.