Has Ryan Pereira, DPM received payments from drug or device companies?

Yes. Drug and device makers reported $79,332 in general payments to Ryan Pereira, DPM across 389 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Ryan Pereira, DPM did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Ryan Pereira, DPM come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Ryan Pereira, DPM

Foot & Ankle Surgery · St Augustine, FLNPI 1033195979

Payments from drug & device makers

What this record shows

The money is spread across several categories — speaking fees (46.0%), food and beverage and other — rather than concentrated in one kind of arrangement. 60 manufacturers reported payments, led by Arteriocyte Medical Systems, Inc. at 48.5% of the total. Reporting peaked in 2019 at $28,484 and has fallen 85.4% since, to $4,152 in 2025. Among foot & ankle surgery clinicians in FL 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.

$79,332in general payments, 2019–2025

Across 389 payments — averaging $203.94 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Arteriocyte Medical Systems, Inc.$38K
Angiodynamics, Inc.$17K
Integra Lifesciences Corporation$11K
Crossroads Extremity Systems, LLC$3K
Johnson & Johnson$1K
Stryker$1K
plus $8K from 54 others

$28,474in research payments, 2019–2025

Across 29 payments — averaging $981.86 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

Axogen$28K

What the payments were for

Royalty or licence$2,7283%
Consulting fees$8,39011%
Speaking & faculty fees$36,50046%
Travel & lodging$2,4833%
Food & beverage$12,35516%
Education$7,2759%
Other$9,60012%

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
Arteriocyte Medical Systems, Inc.	11	$38,486
Angiodynamics, Inc.	7	$16,800
Integra Lifesciences Corporation	55	$10,825
Crossroads Extremity Systems, LLC	19	$3,070
Johnson & Johnson	14	$1,210
Stryker(2 entities)	25	$1,111
Axogen	14	$904
Organogenesis Inc.	32	$824
Kerecis Limited	7	$655
Amgen	32	$527
Smith+Nephew	24	$451
Bard Peripheral Vascular, Inc.	4	$284
Novo Nordisk	13	$268
Bioventus LLC	9	$232
Heron Therapeutics, Inc.	6	$220
KCI USA, Inc.	7	$205
Convatec Inc.	6	$203
Stimwave Technologies Incorporated	3	$193
Medtronic(2 entities)	3	$179
Cardiovascular Systems Inc.	2	$172
Boston Scientific	2	$169
AMDT Holdings, Inc.	1	$165
Orthofix Medical, Inc.	8	$156
Curonix LLC	8	$144
Metric Medical Devices, Inc.	1	$129
Paratek Pharmaceuticals, Inc.	7	$126
Abbott	2	$112
Biocomposites Inc	1	$110
Nevro Corp.	1	$101
Access Pro Medical, LLC	3	$87
Treace Medical Concepts, Inc.	4	$83
EBI, LLC	1	$73
Reprise Biomedical, Inc.	3	$70
Next Science LLC	2	$55
Solventum Corporation	2	$50
TEI Medical Inc.	1	$45
Checkpoint Surgical, Inc	3	$44
Merck	3	$42
Aroa Biosurgery Incorporated	2	$40
Nalu Medical, Inc.	2	$39
Mimedx Group, Inc.	2	$39
AbbVie(2 entities)	2	$37
Misonix Inc	2	$35
Averitas Pharma Inc.	1	$35
Avita Medical Americas, LLC	2	$34
Acell, Inc.	2	$31
Sanofi Pasteur Inc.	2	$31
Lilly USA, LLC	2	$31
Medical Device Business Services, Inc.	1	$29
Vertex	1	$26
Acera Surgical, Inc.	1	$24
Novartis	1	$22
Musculoskeletal Transplant Foundation Inc.	1	$19
Pacira Pharmaceuticals Incorporated	1	$19
SPR Therapeutics, Inc	1	$18
Omeza LLC	1	$17
Team 1, LLC	1	$16
Dynasplint Systems Inc.	1	$16
Davol Inc.	1	$16
Assertio Therapeutics, Inc.	1	$16

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$13,644
VenaCure 1470 Pro$12,000
EVLT$4,800
Magellan$3,189
PRIMATRIX$2,995
AMNIOEXCEL$2,000
BILAYER WOUND MATRIX (BWM)$1,500
FLOWABLE$1,500
INTEGRA WOUND MATRIX (IWM)$1,500
IDRT$1,500
INTEGRA DERMAL REGENERATION TEMPLATE$995
MOTOBAND$742
Kerecis Omega3 Marigen$600
Medical Implant$483
PROstep$382
Kerecis Omega3 Wound$381
AVANCE NERVE GRAFT$304
Influx$182
AMDT Mini-Rail$165
SixFix Circular Fixation System$165

How this compares

$79,332 in reported general payments places this provider in the 95th percentile of 850 foot & ankle surgery providers in Florida.

See all foot & ankle surgery providers in Florida →

Medicare billing

Part B allowed, 2024

$3,778,917

Medicare patients

502

Services billed

5,736

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
Pregabalin	17	$585
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav	39	$407
Gabapentin	13	$163
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen	22	$142
Methylprednisolone	18	$109
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim	13	$46

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in St Augustine

Gabriel GalanSt Augustine$36K
Thomas SangiovanniCoral Gables$2.1M
Shayne JensenPanama City$1.3M
Thomas RoukisOrlando$1M
Craig BreslauerStuart$971K
Bradley LammWest Palm Beach$861K
Amber ShaneOrlando$830K
Jonathan BlumKissimmee$785K
Mario CalaHialeah$541K
Christopher ReevesLake Mary$424K

See the full list for Florida →

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.

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