Tomasz Rostkowski, DPM
Foot & Ankle Surgery · Mineola, NYNPI 1023049889
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (46.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Kerecis Limited accounts for 64.9% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $14,524, 2.5 times the $5,826 reported in 2019. Among foot & ankle surgery clinicians in NY 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 256 payments — averaging $157.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kerecis Limited$26K
- Smith+Nephew$6K
- Stryker$2K
- Osiris Therapeutics Inc.$2K
- Bioventus LLC$2K
- Gotham Surgical Solutions & Devices, Inc.$1K
- plus $1K from 11 others
What the payments were for
- Speaking & faculty fees$18,70046%
- Travel & lodging$2,4876%
- Food & beverage$16,99142%
- Education$2,1005%
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 |
|---|---|---|
| Kerecis Limited | 45 | $26,124 |
| Smith+Nephew | 102 | $5,877 |
| Stryker(2 entities) | 34 | $2,301 |
| Osiris Therapeutics Inc. | 8 | $1,961 |
| Bioventus LLC | 35 | $1,778 |
| Gotham Surgical Solutions & Devices, Inc. | 1 | $1,200 |
| Organogenesis Inc. | 12 | $371 |
| Integra Lifesciences Corporation | 8 | $319 |
| Osteomed LLC | 1 | $74 |
| Derma Sciences, Inc. | 2 | $73 |
| Orthofix Medical, Inc. | 1 | $47 |
| AbbVie | 2 | $46 |
| Nevro Corp. | 1 | $28 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $25 |
| CSL Behring | 1 | $22 |
| Solventum Corporation | 1 | $19 |
| Advanced Oxygen Therapy Inc. | 1 | $12 |
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.
- Kerecis SurgiClose$51,422
- Kerecis Omega3 Marigen$30,659
- Kerecis Omega3 SurgiClose$25,538
- Kerecis GraftGuide$12,856
- Kerecis Omega3 GraftGuide$7,845
- Stravix$6,176
- Grafix$3,583
- GrafixPL$3,583
- AUGMENT INJECTABLE$622
- Actishield$523
- ORTHOLOC 2 LAPIFUSE$499
- INTEGRA$439
- VITOSS$348
- ALLOMATRIX$348
- IGNITE$326
- PROPHECY$298
- PuraPly$249
- SALVATION$233
- PROSTEP MICA$175
- FLEXBAND$171
How this compares
$40,278 in reported general payments places this provider in the 95th percentile of 652 foot & ankle surgery providers in New York.
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 | 52 | $5,826 |
| Clotrimazole | 110 | $2,905 |
| Diclofenac Sodium | 21 | $756 |
| CiclopiroxCiclopirox Olamine | 12 | $702 |
| Ciclopirox | 20 | $699 |
| Minocycline Hcl | 26 | $385 |
| Ammonium Lactate | 16 | $340 |
| Econazole Nitrate | 11 | $336 |
| Cephalexin | 40 | $281 |
| Doxycycline Hyclate | 30 | $214 |
| Methylprednisolone | 29 | $177 |
| Meloxicam | 45 | $112 |
| Terbinafine Hcl | 12 | $64 |
| Cefadroxil | 17 | $53 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Mineola
- James McWilliamHarrison$4.7M
- Jonathan DelandNew York$4M
- George Vitole Roy$2.5M
- Constantine DemetracopoulosNew York$888K
- Anne JohnsonNew York$815K
- Scott EllisNew York$597K
- John KennedyNew York$534K
- Michael KellerKingston$532K
- Judith BaumhauerRochester$328K
- Stuart MogulNew York$131K
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.