Varnel Noel, DPM
Foot Surgery · Merion Station, PANPI 1245883008
Payments from drug & device makers
What this record shows
Medical Device Business Services, Inc. accounts for 60.3% of it on its own, with 6 other manufacturers making up the rest. 2023 is the largest year on record at $999, 7.4 times the $134 reported in 2019.
Across 14 payments — averaging $107.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$907
- Advanced Oxygen Therapy Inc.$148
- Integra Lifesciences Corporation$134
- Organogenesis Inc.$120
- Acumed LLC$92
- Zimmer Biomet$87
- plus $15 from 1 others
What the payments were for
- Travel & lodging$83155%
- Food & beverage$67245%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 6 | $907 |
| Advanced Oxygen Therapy Inc. | 1 | $148 |
| Integra Lifesciences Corporation | 1 | $134 |
| Organogenesis Inc. | 1 | $120 |
| Acumed LLC | 2 | $92 |
| Zimmer Biomet | 2 | $87 |
| Acera Surgical, Inc. | 1 | $15 |
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
$1,504 in reported general payments places this provider in the 75th percentile of 67 foot surgery providers in Pennsylvania.
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.
Other foot surgery in Merion Station
- Joshua ScollBensalem$18K
- Derrico QuattroneJefferson Hills$6K
- Dawn SteinGrove City$5K
- Robert NortonPhiladelphia$4K
- Alyssa FitchLancaster$4K
- Peter LarnedKing Of Prussia$3K
- Nikki MiracleBeaver Falls$3K
- Raymond FritzAllentown$2K
- Pamela GekasBryn Mawr$2K
- David BernsteinWayne$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.