Tyler Zimmermann, DPM
Foot & Ankle Surgery · Livonia, MINPI 1740774751
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (49.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 40 manufacturers reported payments, led by Pinnacle, Inc at 41.1% of the total. Reporting peaked in 2022 at $8,528 and has fallen 85.4% since, to $1,244 in 2025. Among foot & ankle surgery clinicians in MI with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 171 payments — averaging $99.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$7K
- Arthrex$4K
- Medline Industries LP$2K
- Treace Medical Concepts, Inc.$822
- AbbVie$510
- Aroa Biosurgery Incorporated$437
- plus $3K from 34 others
What the payments were for
- Travel & lodging$3,83022%
- Food & beverage$4,73628%
- Education$8,53150%
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 |
|---|---|---|
| Pinnacle, Inc | 20 | $7,032 |
| Arthrex | 26 | $3,947 |
| Medline Industries LP | 7 | $1,665 |
| Treace Medical Concepts, Inc. | 8 | $822 |
| AbbVie | 24 | $510 |
| Aroa Biosurgery Incorporated | 3 | $437 |
| Smith+Nephew | 6 | $376 |
| Linvatec Corporation | 5 | $312 |
| Johnson & Johnson | 6 | $223 |
| Paratek Pharmaceuticals, Inc. | 12 | $206 |
| Integra Lifesciences Corporation | 5 | $164 |
| ANI Pharmaceuticals, Inc. | 7 | $164 |
| Nevro Corp. | 4 | $155 |
| Axogen | 1 | $135 |
| Stryker | 4 | $129 |
| Organogenesis Inc. | 1 | $98 |
| Kerecis Limited | 3 | $80 |
| Urgo Medical North America, LLC | 2 | $56 |
| Zimmer Biomet | 1 | $53 |
| Acumed LLC | 2 | $49 |
| IBSA Pharma Inc. | 2 | $39 |
| Misonix Inc | 1 | $38 |
| Paragon 28, Inc. | 2 | $34 |
| Orthofix Medical, Inc. | 2 | $33 |
| Averitas Pharma Inc. | 1 | $28 |
| Convatec Inc. | 1 | $25 |
| GRT US Holding, Inc. | 2 | $25 |
| Heron Therapeutics, Inc. | 1 | $25 |
| Lifenet Health | 1 | $24 |
| Hartmann USA, Inc. | 1 | $24 |
| Alfasigma USA, Inc. | 1 | $23 |
| Acera Surgical, Inc. | 1 | $23 |
| Next Science LLC | 1 | $20 |
| Cashflow Solutions, LLC | 1 | $20 |
| Inari Medical, Inc. | 1 | $19 |
| Medtronic | 1 | $19 |
| Mimedx Group, Inc. | 1 | $19 |
| Surgenex LLC | 1 | $18 |
| Curonix LLC | 1 | $16 |
| Tactile Systems Technology Inc | 1 | $11 |
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.
How this compares
$17,097 in reported general payments places this provider in the 90th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Ciclopirox | 19 | $880 |
| Ammonium Lactate | 22 | $279 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 13 | $247 |
| CefuroximeCefuroxime Axetil | 13 | $174 |
| Mupirocin | 16 | $135 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Livonia
- Joshua FaleyLivonia$30K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
- Gregory SheremetaTroy$87K
- Jason WesloskyClinton Township$87K
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.