Tammer Elmarsafi
Foot & Ankle Surgery · Woodbridge, VANPI 1992048110
Payments from drug & device makers
Across 125 payments — averaging $64.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Osiris Therapeutics Inc.$2K
- Stryker$2K
- Cashflow Solutions, LLC$691
- Smith+Nephew$610
- Medtronic$570
- Native Surgical, LLC$422
- plus $2K from 25 others
What the payments were for
- Consulting fees$2,73834%
- Travel & lodging$1,60920%
- Food & beverage$3,10738%
- Education$170%
- Other$6418%
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 |
|---|---|---|
| Osiris Therapeutics Inc. | 4 | $2,298 |
| Stryker | 11 | $1,552 |
| Cashflow Solutions, LLC | 4 | $691 |
| Smith+Nephew | 35 | $610 |
| Medtronic | 4 | $570 |
| Native Surgical, LLC | 2 | $422 |
| Organogenesis Inc. | 12 | $294 |
| Arthrex | 3 | $288 |
| Mimedx Group, Inc. | 3 | $205 |
| Johnson & Johnson(2 entities) | 7 | $160 |
| Integra Lifesciences Corporation | 6 | $129 |
| Osteomed LLC | 2 | $114 |
| Tactile Systems Technology Inc | 6 | $108 |
| KCI USA, Inc. | 2 | $105 |
| Amgen(2 entities) | 4 | $97 |
| Treace Medical Concepts, Inc. | 1 | $84 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 3 | $44 |
| Nevro Corp. | 2 | $43 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $38 |
| Reapplix Inc. | 1 | $32 |
| Hartmann USA, Inc. | 2 | $31 |
| Convatec Inc. | 1 | $28 |
| AbbVie | 1 | $25 |
| Biowound Solutions, Inc. | 1 | $23 |
| Kerecis Limited | 1 | $22 |
| Bioventus LLC | 1 | $21 |
| Averitas Pharma Inc. | 1 | $17 |
| Melinta Therapeutics, LLC | 1 | $15 |
| Paratek Pharmaceuticals, Inc. | 1 | $15 |
| TELA Bio, Inc. | 1 | $15 |
| Rikco International, LLC | 1 | $14 |
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.
- Stravix$2,200
- Grafix$2,200
- GrafixPL$2,200
- HOFFMANN$1,074
- Lympha Press Optimal Plus(US) BT$641
- PCD-51 731A (US) - White$641
- PCD-52 737A (US) White$641
- ASNIS$108
How this compares
$8,112 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Gabapentin | 146 | $2,031 |
| Terbinafine Hcl | 41 | $824 |
| Doxycycline Hyclate | 43 | $482 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 24 | $456 |
| Ammonium Lactate | 17 | $218 |
| Ciprofloxacin Hcl | 20 | $87 |
| Cephalexin | 25 | $79 |
| Meloxicam | 15 | $15 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Woodbridge
- Robert ToomeyWoodbridge$23K
- Jared MelmanWoodbridge$14K
- 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
- 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.