Shrunjay Patel, DPM
Foot & Ankle Surgery · Fredericksburg, VANPI 1649667791
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $26,095 of the $34,971 with a category attached, or 74.6%. Orthofix Medical, Inc. accounts for 92.9% of it on its own, with 10 other manufacturers making up the rest. Among foot & ankle surgery clinicians in VA 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 95 payments — averaging $368.11 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$32K
- New Standard Device, LLC Dba Metalogix$850
- Peerless Surgical Inc.$780
- Endo USA, Inc.$420
- Treace Medical Concepts, Inc.$137
- Alafair Biosciences, Inc.$128
- plus $168 from 5 others
Across 2 payments — averaging $973.15 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.
- Acera Surgical, Inc.$2K
What the payments were for
- Consulting fees$26,09575%
- Travel & lodging$6,44618%
- Food & beverage$1,6805%
- Education$7502%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 83 | $32,488 |
| New Standard Device, LLC Dba Metalogix | 1 | $850 |
| Peerless Surgical Inc. | 2 | $780 |
| Endo USA, Inc. | 1 | $420 |
| Treace Medical Concepts, Inc. | 1 | $137 |
| Alafair Biosciences, Inc. | 1 | $128 |
| Checkpoint Surgical, Inc | 2 | $64 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $52 |
| Fortis Surgical, LLC | 1 | $24 |
| Tricoast Surgical Solutions LLC | 1 | $16 |
| Zyla Life Sciences, 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.
- TrueLok$26,761
- JUNIORTHO PLATING SYSTEM$6,239
- Trinity ELITE$432
- Lapiplasty System$137
- VersaWrap$128
- TRUELOK SYSTEM$122
How this compares
$34,971 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Ketoconazole | 45 | $1,031 |
| Doxycycline Hyclate | 24 | $265 |
| Oxycodone Hcl | 26 | $98 |
| Cephalexin | 20 | $80 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Fredericksburg
- Michael BowenFredericksburg$18K
- Ross GirvanFredericksburg$11K
- 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.