Tzvi Small, MD
Plastic and Reconstructive Surgery · Paramus, NJNPI 1033188461
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 29 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 20.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2024 at $762 and has fallen 63.6% since, to $277 in 2025. That places this record below the midpoint for plastic and reconstructive surgery clinicians in NJ, where the typical reported total is $1,513.
Across 29 payments — averaging $52.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$311
- Dilon Technologies, Inc.$299
- Checkpoint Surgical, Inc$198
- Kerecis Limited$191
- Sanara Medtech Inc.$143
- Tactile Systems Technology Inc$112
- plus $259 from 7 others
What the payments were for
- Food & beverage$1,513100%
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 |
|---|---|---|
| AbbVie(2 entities) | 13 | $311 |
| Dilon Technologies, Inc. | 2 | $299 |
| Checkpoint Surgical, Inc | 1 | $198 |
| Kerecis Limited | 2 | $191 |
| Sanara Medtech Inc. | 1 | $143 |
| Tactile Systems Technology Inc | 1 | $112 |
| Seapearl East, Inc | 1 | $100 |
| Axogen | 3 | $68 |
| Biowound Solutions, Inc. | 1 | $29 |
| Galderma Laboratories, L.p. | 1 | $17 |
| Convatec Inc. | 1 | $16 |
| KCI USA, Inc. | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 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.
- Kerecis SurgiClose$551
- HemoBlast Bellows$299
- Checkpoint Stimulators$198
- CellerateRx$143
- Kerecis GraftGuide$138
- Flexitouch Plus$112
- Entre Plus$112
How this compares
$1,513 in reported general payments places this provider in the 50th percentile of 93 plastic and reconstructive surgery providers in New Jersey.
See all plastic and reconstructive surgery providers in New Jersey →
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 |
|---|---|---|
| Cefadroxil | 11 | $72 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Paramus
- Hakan UsalParamus$3K
- Nebil AydinParamus$3K
- Robert ZubowskiParamus$1K
- Sara ColeCherry Hill$63K
- Edward LeeRahway$50K
- Eric ChangFlorham Park$41K
- Colin FaileyFlorham Park$40K
- Steve FallekEnglewood$34K
- Barry DibernardoMontclair$31K
- Michael NagyManasquan$27K
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.