Stephen Carley
Foot & Ankle Surgery · Fredericksburg, VANPI 1124096664
Payments from drug & device makers
Across 44 payments — averaging $24.03 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$313
- Paratek Pharmaceuticals, Inc.$146
- Linvatec Corporation$77
- Melinta Therapeutics, LLC$50
- Bioventus LLC$48
- Fortis Surgical, LLC$47
- plus $375 from 16 others
What the payments were for
- Consulting fees$111%
- Food & beverage$1,04699%
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.
| Company | Payments | Total |
|---|---|---|
| Stryker(2 entities) | 6 | $313 |
| Paratek Pharmaceuticals, Inc. | 9 | $146 |
| Linvatec Corporation | 2 | $77 |
| Melinta Therapeutics, LLC | 3 | $50 |
| Bioventus LLC | 2 | $48 |
| Fortis Surgical, LLC | 2 | $47 |
| Zimmer Biomet | 1 | $47 |
| Biocomposites Inc | 1 | $45 |
| GRT US Holding, Inc. | 2 | $34 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 2 | $30 |
| Merck | 2 | $29 |
| Rikco International, LLC | 1 | $27 |
| Organogenesis Inc. | 1 | $24 |
| Glenmark Therapeutics Inc. | 2 | $22 |
| Amgen | 1 | $19 |
| Averitas Pharma Inc. | 1 | $16 |
| Sebela Pharmaceuticals Inc. | 1 | $15 |
| Johnson & Johnson | 1 | $15 |
| Integra Lifesciences Corporation | 1 | $14 |
| Medtronic | 1 | $14 |
| Misonix Inc | 1 | $13 |
| Next Science LLC | 1 | $11 |
How this compares
$1,057 in reported general payments places this provider in the 25th 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 |
|---|---|---|
| JubliaEfinaconazole | 12 | $8,904 |
| Cephalexin | 92 | $491 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 34 | $263 |
| Mupirocin | 25 | $238 |
| Methylprednisolone | 29 | $228 |
| Diclofenac Sodium | 23 | $228 |
| Terbinafine Hcl | 31 | $175 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 32 | $99 |
| Fluconazole | 15 | $76 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 18 | $70 |
| Prednisone | 28 | $65 |
| Meloxicam | 15 | $33 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Ortho Dermatologics, A Division Of Bausch Health US, LLCJublia | $30 | $8,90412 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 25th percentile of 260 foot & ankle surgery providers in Virginia.
Other foot & ankle surgery in Fredericksburg
- Shrunjay PatelFredericksburg$35K
- Michael BowenFredericksburg$18K
- Ross GirvanFredericksburg$11K
- Melissa GuloshFredericksburg$10K
- Charles ZelenRoanoke$6.2M
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$1.2M
- Matthew DairmanSuffolk$376K
- Ryan VazalesGlen Allen$337K
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.