Ryan Vazales, DPM
Foot & Ankle Surgery · Glen Allen, VANPI 1043624372
Payments from drug & device makers
What this record shows
This record is dominated by other: $273,500 of the $336,603 with a category attached, or 81.3%. Convatec Inc. accounts for 81.3% of it on its own, with 10 other manufacturers making up the rest. 2025 is the largest year on record at $283,906, more than ten times the $3,512 reported in 2019. Among foot & ankle surgery clinicians in VA 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 160 payments — averaging $2103.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Convatec Inc.$274K
- Orthofix Medical, Inc.$55K
- Fortis Surgical, LLC$4K
- Stryker$3K
- Arteriocyte Medical Systems, Inc.$2K
- Smith+Nephew$248
- plus $445 from 5 others
What the payments were for
- Consulting fees$44,81513%
- Travel & lodging$10,7843%
- Food & beverage$3,7141%
- Education$3,7901%
- Other$273,50081%
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 |
|---|---|---|
| Convatec Inc. | 30 | $273,500 |
| Orthofix Medical, Inc. | 83 | $54,533 |
| Fortis Surgical, LLC | 5 | $3,832 |
| Stryker | 31 | $2,542 |
| Arteriocyte Medical Systems, Inc. | 3 | $1,503 |
| Smith+Nephew | 3 | $248 |
| Integra Lifesciences Corporation | 1 | $120 |
| Anika Therapeutics, Inc. | 1 | $106 |
| Access Pro Medical, LLC | 1 | $87 |
| KCI USA, Inc. | 1 | $71 |
| In2bones USA, LLC | 1 | $61 |
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.
- InnovaMatrix AC$273,500
- TrueLok$36,792
- JUNIORTHO PLATING SYSTEM$17,515
- Magellan$1,320
- ALLOWRAP$831
- HOFFMANN$724
- T2$228
- NEUROMEND$175
- BIOskin$174
- GRAFIX PL$134
- TITAN-SHOULDER$120
- REVERSE SHOULDER$120
- ANCHORAGE$111
- X-Twist$106
- TRUELOK SYSTEM$104
How this compares
$336,603 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Methylprednisolone | 26 | $161 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 26 | $127 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $52 |
| Cephalexin | 13 | $42 |
| Meloxicam | 23 | $33 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Glen Allen
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
- Bradley LevittVirginia Beach$243K
- Richard DernerLake Ridge$212K
- Richard BrunoSuffolk$169K
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.