Steven Goldstein, DPM
Foot & Ankle Surgery · Warrenton, VANPI 1174058689
Payments from drug & device makers
What this record shows
This record is dominated by education: $1,200 of the $1,618 with a category attached, or 74.2%. Supreme Orthopedic Systems, LLC accounts for 79.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $1,314 and has fallen 93.0% since, to $92 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in VA, where the typical reported total is $3,404.
Across 17 payments — averaging $95.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Supreme Orthopedic Systems, LLC$1K
- Integra Lifesciences Corporation$132
- Medtronic$60
- Smith+Nephew$47
- Kerecis Limited$31
- Paratek Pharmaceuticals, Inc.$17
- plus $46 from 3 others
What the payments were for
- Food & beverage$41826%
- Education$1,20074%
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 |
|---|---|---|
| Supreme Orthopedic Systems, LLC | 5 | $1,286 |
| Integra Lifesciences Corporation | 3 | $132 |
| Medtronic | 1 | $60 |
| Smith+Nephew | 3 | $47 |
| Kerecis Limited | 1 | $31 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| KCI USA, Inc. | 1 | $17 |
| Hartmann USA, Inc. | 1 | $15 |
| Vertex | 1 | $14 |
How this compares
$1,618 in reported general payments places this provider in the 30th 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 |
|---|---|---|
| Doxycycline Hyclate | 24 | $141 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $128 |
| Cephalexin | 13 | $69 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Warrenton
- 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
- William GrantVirginia Beach$271K
- Bradley LevittVirginia Beach$243K
- Richard DernerLake Ridge$212K
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.