Thomas McDonald, MD
Foot and Ankle Surgery · Enfield, CTNPI 1639139868
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (52.5%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Medartis Inc. at 52.5% of the total. Reporting peaked in 2024 at $166,335 and has fallen 70.2% since, to $49,600 in 2025. Among foot and ankle surgery clinicians in CT with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 134 payments — averaging $1794.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medartis Inc.$126K
- Novastep Inc.$48K
- Medshape, Inc.$16K
- Trilliant Surgical LLC.$16K
- Encore Medical, LP$7K
- Acumed LLC$6K
- plus $22K from 21 others
Across 1 payment — averaging $1117.81 each. An ownership or investment interest held by the physician or an immediate family member.
- Oxford Performance Materials, Inc.$1K
What the payments were for
- Royalty or licence$126,25552%
- Consulting fees$89,90737%
- Speaking & faculty fees$1750%
- Travel & lodging$16,3367%
- Food & beverage$5,2392%
- Education$2,5051%
- Gifts$940%
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 |
|---|---|---|
| Medartis Inc. | 12 | $126,255 |
| Novastep Inc. | 32 | $47,651 |
| Medshape, Inc. | 7 | $16,161 |
| Trilliant Surgical LLC. | 27 | $15,874 |
| Encore Medical, LP | 2 | $7,200 |
| Acumed LLC | 6 | $5,800 |
| Avitus Orthopaedics, Inc. | 2 | $4,400 |
| Fusion Orthopedics USA, LLC | 5 | $4,206 |
| Oxford Performance Materials, Inc. | 2 | $3,300 |
| Kairos Surgical Inc | 4 | $2,553 |
| Exactech, Inc. | 4 | $1,747 |
| Treace Medical Concepts, Inc. | 2 | $1,386 |
| Nextremity Solutions Inc. | 2 | $1,143 |
| International Life Sciences | 1 | $781 |
| Crossroads Extremity Systems, LLC | 4 | $474 |
| Stryker(2 entities) | 5 | $312 |
| Johnson & Johnson | 3 | $226 |
| Flower Orthopedics Coporation | 2 | $179 |
| Integra Lifesciences Corporation | 1 | $175 |
| Linvatec Corporation | 1 | $160 |
| Smith+Nephew | 4 | $159 |
| Bone Support Inc. | 1 | $128 |
| Zimmer Biomet | 1 | $121 |
| Bioventus LLC | 1 | $65 |
| Osteomed LLC | 1 | $20 |
| Merck | 1 | $20 |
| EBI, LLC | 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.
- APTUS$126,011
- NEXIS$64,800
- DynaNail$15,605
- Minimally Invasive Bunion Plate, Left$12,608
- DynaNail Helix, Washer, 15 mm$10,800
- AIRLOCK CENTROLOCK$10,500
- CENTROLOCK MIS Bunion Correction$3,983
- Arsenal Ankle$1,761
- VANTAGE$1,680
- Lapiplasty System$1,313
- ACUMED$1,050
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$852
- PECA Bunion Correction System$522
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$490
- OsteoMed$350
- NA$207
- Arsenal Sinus Support Plate$190
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$175
- PANTA NAIL$175
- TOTAL FOOT SYSTEM$175
How this compares
$240,511 in reported general payments places this provider in the 95th percentile of 89 foot and ankle surgery providers in Connecticut.
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 | 48 | $273 |
| Celecoxib | 19 | $235 |
| Methocarbamol | 12 | $109 |
| Meloxicam | 57 | $96 |
| Oxycodone Hcl | 20 | $82 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Enfield
- Matthew TschudyEnfield$4K
- Kristen WintersEnfield$3K
- Rebecca WiesnerEnfield$3K
- Kayla O MalleyEnfield$2K
- Charlotte GeorgeEnfield$2K
- Elizabeth SchwartzEnfield$1K
- Laura Vander PoelEnfield$812
- Thomas JohnsonEnfield$683
- Jossie AbrahamNorwalk$152K
- Gabriel GambardellaBloomfield$99K
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.