Victor Nwosu, DPM
Foot & Ankle Surgery · Pensacola, FLNPI 1144450321
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (38.1%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Integra Lifesciences Corporation at 38.5% of the total. Reporting peaked in 2020 at $21,808 and has fallen 78.1% since, to $4,778 in 2025. Among foot & ankle surgery clinicians in FL 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 261 payments — averaging $213.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$21K
- Stryker$14K
- Orthofix Medical, Inc.$5K
- Smith+Nephew$3K
- Trilliant Surgical LLC.$2K
- Zimmer Biomet$2K
- plus $8K from 20 others
What the payments were for
- Consulting fees$18,53833%
- Speaking & faculty fees$2,7775%
- Travel & lodging$21,20338%
- Food & beverage$9,83918%
- Education$2,9865%
- Gifts$3561%
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 |
|---|---|---|
| Integra Lifesciences Corporation | 29 | $21,458 |
| Stryker(2 entities) | 112 | $13,807 |
| Orthofix Medical, Inc. | 43 | $5,365 |
| Smith+Nephew | 8 | $3,494 |
| Trilliant Surgical LLC. | 7 | $1,723 |
| Zimmer Biomet | 11 | $1,592 |
| Pinnacle, Inc | 2 | $1,575 |
| Restor3d, Inc. | 6 | $1,436 |
| Arteriocyte Medical Systems, Inc. | 2 | $1,252 |
| Medical Device Business Services, Inc. | 7 | $1,083 |
| Treace Medical Concepts, Inc. | 6 | $704 |
| Voom Medical Devices, Inc. | 5 | $519 |
| Sanara Medtech Inc. | 2 | $230 |
| Medela LLC | 2 | $216 |
| Cardiovascular Systems Inc. | 2 | $180 |
| Osteomed LLC | 2 | $173 |
| Axogen | 1 | $169 |
| Paragon 28, Inc. | 2 | $151 |
| Medline Industries LP | 1 | $128 |
| Bioventus LLC | 2 | $115 |
| Trice Medical, Inc. | 1 | $88 |
| Misonix Inc | 1 | $79 |
| Biocomposites Inc | 3 | $77 |
| Johnson & Johnson | 1 | $42 |
| Polarityte, Inc. | 2 | $26 |
| Arthrosurface Incorporated | 1 | $17 |
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.
- BILAYER WOUND MATRIX (BWM)$17,555
- INTEGRA WOUND MATRIX (IWM)$17,555
- IDRT$17,555
- FLOWABLE$17,555
- PROstep$3,996
- Santyl$3,364
- TENOGLIDE TENDON PROTECTOR SHEET$2,698
- NEURAGEN NERVE GUIDE$2,698
- TrueLok$2,692
- INTEGRA$1,940
- PRIMATRIX$1,838
- TL-HEX TRUELOK HEXAPOD SYSTEM$1,789
- HOFFMANN$1,595
- AccuFill$1,170
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$1,170
- VALOR$963
- INFINITY$865
- ANCHORAGE$828
- MOTOBAND$815
- AUGMENT INJECTABLE$724
How this compares
$55,700 in reported general payments places this provider in the 95th percentile of 850 foot & ankle surgery providers in Florida.
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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 12 | $11,289 |
| Naproxen | 159 | $1,640 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 112 | $947 |
| Cephalexin | 69 | $694 |
| Methylprednisolone | 51 | $390 |
| Ibuprofen | 37 | $352 |
| Fluconazole | 11 | $309 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 20 | $258 |
| Ciprofloxacin Hcl | 16 | $119 |
| Meloxicam | 36 | $73 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $3,494 | $11,28912 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 850 foot & ankle surgery providers in Florida.
Other foot & ankle surgery in Pensacola
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
- Ettore VulcanoMiami Beach$411K
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.