Tammy Vandine
Foot & Ankle Surgery · Warwick, RINPI 1851556328
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 50 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 13 manufacturers reported payments, led by Stryker at 28.4% of the total. Reporting peaked in 2019 at $1,224 and has fallen 53.3% since, to $572 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in RI, where the typical reported total is $3,840.
Across 50 payments — averaging $65.81 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$935
- Smith+Nephew$744
- Medtronic$344
- Orthofix Medical, Inc.$343
- Amgen$142
- Acumed LLC$132
- plus $650 from 7 others
What the payments were for
- Food & beverage$3,290100%
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) | 9 | $935 |
| Smith+Nephew | 12 | $744 |
| Medtronic(2 entities) | 5 | $344 |
| Orthofix Medical, Inc. | 11 | $343 |
| Amgen | 2 | $142 |
| Acumed LLC | 3 | $132 |
| Treace Medical Concepts, Inc. | 2 | $130 |
| Cardiovascular Systems Inc. | 1 | $123 |
| Integra Lifesciences Corporation | 1 | $114 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $100 |
| Tactile Systems Technology Inc | 1 | $84 |
| Shockwave Medical, Inc | 1 | $71 |
| Osteomed LLC | 1 | $28 |
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.
- RAYOS$359
- PROPHECY$270
- Stravix$241
- AUGMENT$239
- OsteoMed$201
- PROstep$150
- Panta 2$149
- SPATIAL FRAME$149
- Physio-Stim Osteogenesis Stimulator$125
- Grafix$125
- STRAVIX PL$125
- GRAFIX PL$125
- Peripheral Orbital Atherectomy System$123
- ORTHOLOC 2 LAPIFUSE$120
- N/A$120
- Grafix PRIME$116
- Grafix CORE$116
- Grafix XC$116
- Grafix PL PRIME$116
- BILAYER WOUND MATRIX (BWM)$114
How this compares
$3,290 in reported general payments places this provider in the 40th percentile of 58 foot & ankle surgery providers in Rhode Island.
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 | 26 | $522 |
| Ciclopirox | 16 | $477 |
| Ammonium Lactate | 30 | $350 |
| Cephalexin | 21 | $76 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Warwick
- Anthony MechrefeWarwick$92K
- Jason TartaglioneWarwick$21K
- Michelle GarciaWarwick$5K
- Lee TiberiWarwick$4K
- Sara CathcartWarwick$3K
- Jason MalletteWarwick$3K
- Alexander TrottierWarwick$3K
- Wooyoung ChunWarwick$3K
- Stephen RogersWarwick$2K
- April WongWarwick$2K
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.