Roy Defrancis
Primary Podiatric Medicine · Cheektowaga, NYNPI 1346275351
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 97.2% of the total across 99 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 15.8% — the pattern of someone who eats at a lot of different presentations. Among primary podiatric medicine clinicians in NY 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 99 payments — averaging $45.23 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$707
- Smith+Nephew$603
- Paratek Pharmaceuticals, Inc.$479
- Integra Lifesciences Corporation$430
- Amgen$359
- Bioventus LLC$203
- plus $2K from 21 others
What the payments were for
- Speaking & faculty fees$1253%
- Food & beverage$4,35397%
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 |
|---|---|---|
| Organogenesis Inc. | 12 | $707 |
| Smith+Nephew | 31 | $603 |
| Paratek Pharmaceuticals, Inc. | 12 | $479 |
| Integra Lifesciences Corporation | 3 | $430 |
| Amgen(2 entities) | 9 | $359 |
| Bioventus LLC | 4 | $203 |
| Triad Life Sciences Inc. | 2 | $191 |
| Orthofix Medical, Inc. | 1 | $169 |
| Medline Industries LP | 1 | $163 |
| Medtronic | 1 | $155 |
| Acera Surgical, Inc. | 1 | $149 |
| Advanced Oxygen Therapy Inc. | 2 | $136 |
| Treace Medical Concepts, Inc. | 1 | $131 |
| Lifenet Health | 1 | $124 |
| Melinta Therapeutics, LLC | 1 | $98 |
| Boston Scientific | 1 | $95 |
| Abbott | 4 | $69 |
| Misonix Inc | 2 | $54 |
| Averitas Pharma Inc. | 2 | $34 |
| GRT US Holding, Inc. | 1 | $22 |
| Tactile Systems Technology Inc | 1 | $19 |
| Linvatec Corporation | 1 | $16 |
| Vertex | 1 | $16 |
| Kerecis Limited | 1 | $16 |
| Convatec Inc. | 1 | $15 |
| KCI USA, Inc. | 1 | $13 |
| Paragon 28, Inc. | 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.
- INTEGRA$900
- NUZYRA$353
- INTEGRA DERMAL REGENERATION TEMPLATE$300
- PRIMATRIX$300
- Puraply Antimicrobial$252
- KRYSTEXXA$250
- Apligraf$244
- InnovaMatrix AC$178
- Physio-Stim$169
- INCEPTIV$155
- Exogen Ultrasound Bone Healing System$150
- GRAFIX PL$149
- Restrata Wound Matrix$149
- Lapiplasty System$131
- BILAYER WOUND MATRIX (BWM)$130
- INTEGRA WOUND MATRIX (IWM)$130
- AMNIOEXCEL$130
- IDRT$130
- FLOWABLE$130
- Dermagraft$125
How this compares
$4,478 in reported general payments places this provider in the 90th percentile of 85 primary podiatric medicine 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 56 | $1,839 |
| Ibuprofen | 76 | $833 |
| Ammonium Lactate | 19 | $595 |
| Ketoconazole | 16 | $470 |
| Methocarbamol | 11 | $187 |
| SsdSilver Sulfadiazine | 14 | $124 |
| Cephalexin | 26 | $108 |
| Terbinafine Hcl | 18 | $104 |
| Methylprednisolone | 12 | $89 |
| Oxycodone Hcl | 11 | $69 |
Paid to pharmacies, not to this prescriber.
Other primary podiatric medicine in Cheektowaga
- Anthony IorioNorth Salem$177K
- Brian StraussYonkers$20K
- Martin WendelkenBronx$14K
- Nicholas MegdanisBayside$12K
- Carlos SilvaWoodhaven$5K
- Edgard NauNew York$5K
- Allen FungStaten Island$4K
- Lina DobronevskyManhasset$4K
- Michael MerensteinBronx$4K
- Richard FrankelNew York$4K
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.