Spencer Monaco, DPM
Foot & Ankle Surgery · West Chester, PANPI 1356781090
Payments from drug & device makers
Across 522 payments — averaging $714.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vilex LLC$209K
- Medshape, Inc.$60K
- Arthrex$50K
- Medical Device Business Services, Inc.$15K
- Stryker$12K
- Synthes USA Products LLC$9K
- plus $19K from 22 others
What the payments were for
- Royalty or licence$134,06736%
- Consulting fees$136,31337%
- Speaking & faculty fees$44,25012%
- Travel & lodging$41,73911%
- Food & beverage$11,0083%
- Education$2,6411%
- Gifts$1570%
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 |
|---|---|---|
| Vilex LLC | 114 | $208,591 |
| Medshape, Inc. | 89 | $59,687 |
| Arthrex | 58 | $49,971 |
| Medical Device Business Services, Inc. | 7 | $14,867 |
| Stryker(2 entities) | 147 | $11,707 |
| Synthes USA Products LLC | 7 | $9,009 |
| Trilliant Surgical LLC. | 20 | $9,005 |
| Eclipse Technology Solutions Inc. | 37 | $3,386 |
| Encore Medical, LP | 13 | $2,081 |
| International Life Sciences | 3 | $2,063 |
| Exactech, Inc. | 3 | $1,186 |
| Liberty Surgical Inc. | 6 | $969 |
| Ossio Inc | 1 | $125 |
| Aroa Biosurgery Incorporated | 1 | $92 |
| Smith+Nephew | 2 | $86 |
| Medartis Inc. | 2 | $55 |
| Kerecis Limited | 1 | $41 |
| Zimmer Biomet | 1 | $36 |
| Forma Medical | 1 | $26 |
| IBSA Pharma Inc. | 1 | $25 |
| Ipsen Biopharmaceuticals, Inc | 1 | $23 |
| Reapplix Inc. | 1 | $23 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $22 |
| Paragon 28, Inc. | 1 | $22 |
| Heraeus Medical, LLC. | 1 | $21 |
| Paratek Pharmaceuticals, Inc. | 1 | $20 |
| Johnson & Johnson | 1 | $18 |
| Vertex | 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.
- ALPHALOK$77,578
- ALPHALOK Recon - R&D$51,831
- HINTERMANN$37,994
- NA$30,360
- DynaNail Helix, Washer, 15 mm$25,821
- DynaNail$25,006
- ALPHALOK Ankle Fusion - R&D$23,280
- VA-LCP$15,180
- LCP$15,180
- DynaNail Mini$8,520
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$7,705
- RD Met Fx$5,200
- RD Ankle Fx$4,000
- DYNEX$3,600
- Lapidus Correction Jig, Right$2,619
- SALVATION$2,593
- FLEXBAND$2,063
- VA-LCP PLATES & SCREWS$1,800
- LCP PLATES & SCREWS$1,800
- CANNULATED SCREWS$1,800
How this compares
$373,174 in reported general payments places this provider in the 95th percentile of 575 foot & ankle surgery providers in Pennsylvania.
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 | 19 | $95 |
| Meloxicam | 20 | $22 |
| Tramadol Hcl | 16 | $16 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in West Chester
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.7M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Jason MillerMalvern$551K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- James SferraCranberry Township$457K
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.