Samir Vakil, DPM
Foot & Ankle Surgery · Punta Gorda, FLNPI 1669468229
Payments from drug & device makers
Across 241 payments — averaging $42.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Organogenesis Inc.$1K
- Stryker$929
- Amgen$803
- Treace Medical Concepts, Inc.$687
- Nevro Corp.$475
- plus $4K from 42 others
What the payments were for
- Speaking & faculty fees$2492%
- Travel & lodging$3603%
- Food & beverage$7,58974%
- Education$1,89318%
- Gifts$2272%
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.
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.
- Kerecis SurgiClose$937
- TMC NANOPLASTY SYSTEM$404
- Apligraf$374
- Dermagraft$374
- Puraply/Affinity/NuTech$374
- KRYSTEXXA$374
- InnovaMatrix AC$270
- Kerecis GraftGuide$234
- INBONE$227
- Cook Medical Zilver PTX$216
- ORTHOLOC 3DI$171
- Senza Spinal Cord Stimulation System$146
- Stimulan$146
- LAPIPLASTY SYSTEM 1$134
- ORTHOLOC$133
- CERAMENTBONE VOID FILLER$132
- CERAMENT G$132
- Senza$126
- Affinity$125
- SIVEXTRO$124
How this compares
$10,319 in reported general payments places this provider in the 75th percentile of 850 foot & ankle surgery providers in Florida.
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 | 82 | $1,679 |
| Gentamicin Sulfate | 41 | $1,426 |
| Ciclopirox | 23 | $899 |
| Pregabalin | 25 | $620 |
| Nabumetone | 38 | $457 |
| Gabapentin | 28 | $449 |
| Tramadol Hcl | 24 | $386 |
| Doxycycline Hyclate | 40 | $386 |
| Terbinafine Hcl | 50 | $369 |
| Levofloxacin | 26 | $188 |
| Doxycycline Monohydrate | 16 | $179 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $161 |
| Mupirocin | 12 | $83 |
| Oxycodone Hcl | 11 | $46 |
| Prednisone | 12 | $38 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Punta Gorda
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1.1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$938K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$814K
- Riquel GonzalezHialeah$612K
- Mario CalaHialeah$544K
- Christopher ReevesLake Mary$437K
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.