Zachary Kramer, DPM
Foot Surgery · Encinitas, CANPI 1184241978
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (41.9%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Stryker at 27.5% of the total. Reporting peaked in 2021 at $4,626 and has fallen 84.3% since, to $727 in 2025. Among foot surgery clinicians in CA 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 123 payments — averaging $109.93 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Impactortho, Inc.$4K
- Arthrex$2K
- Elevate Surgical Co$2K
- Medical Device Business Services, Inc.$868
- Zimmer Biomet$270
- plus $2K from 20 others
What the payments were for
- Travel & lodging$3,79628%
- Food & beverage$4,05730%
- Education$5,66842%
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 |
|---|---|---|
| Stryker | 33 | $3,714 |
| Impactortho, Inc. | 3 | $3,600 |
| Arthrex | 22 | $1,782 |
| Elevate Surgical Co | 11 | $1,606 |
| Medical Device Business Services, Inc. | 3 | $868 |
| Zimmer Biomet | 9 | $270 |
| Treace Medical Concepts, Inc. | 5 | $259 |
| Ossio Inc | 2 | $181 |
| AbbVie | 3 | $173 |
| Organogenesis Inc. | 3 | $168 |
| Paratek Pharmaceuticals, Inc. | 2 | $148 |
| Nevro Corp. | 3 | $144 |
| Smith+Nephew | 4 | $124 |
| Bioventus LLC | 4 | $75 |
| Integra Lifesciences Corporation | 2 | $59 |
| Johnson & Johnson | 2 | $53 |
| Acera Surgical, Inc. | 1 | $48 |
| Kerecis Limited | 1 | $40 |
| Biotissue Holdings Inc. | 1 | $40 |
| Heron Therapeutics, Inc. | 2 | $39 |
| Avita Medical Americas, LLC | 1 | $33 |
| Extremity Medical | 1 | $28 |
| DJO, LLC | 2 | $24 |
| Trimed, Inc. | 1 | $18 |
| Acumed LLC | 1 | $15 |
| Paragon 28, Inc. | 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.
How this compares
$13,521 in reported general payments places this provider in the 95th percentile of 71 foot surgery providers in California.
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 |
|---|---|---|
| Methylprednisolone | 12 | $83 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Encinitas
- Alexander ReyzelmanSan Francisco$137K
- Helen ShnolBeverly Hills$22K
- Benedict ChingFountain Valley$19K
- Tara HarringtonElk Grove$12K
- Jack MorganMonterey Park$11K
- Jaehyun KimSunnyvale$7K
- Ingrid EdelmanSan Diego$6K
- Spencer SterlingBellflower$5K
- Beverly SpursConcord$4K
- Dana LavianValencia$3K
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.