Zachary Ritter, DPM
Foot & Ankle Surgery · Williamsport, PANPI 1578791497
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $155,956 of the $246,338 with a category attached, or 63.3%. 17 manufacturers reported payments, led by Orthofix Medical, Inc. at 43.0% of the total. Reporting peaked in 2019 at $52,920 and has fallen 62.1% since, to $20,076 in 2025. Among foot & ankle surgery clinicians in PA 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 380 payments — averaging $648.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$106K
- Medical Device Business Services, Inc.$55K
- Medshape, Inc.$44K
- Pacira Pharmaceuticals Incorporated$18K
- Synthes USA Products LLC$7K
- Trilliant Surgical LLC.$7K
- plus $9K from 11 others
What the payments were for
- Royalty or licence$43,16518%
- Consulting fees$155,95663%
- Speaking & faculty fees$11,7505%
- Travel & lodging$26,40411%
- Food & beverage$9,0634%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 149 | $105,899 |
| Medical Device Business Services, Inc. | 74 | $55,327 |
| Medshape, Inc. | 25 | $44,130 |
| Pacira Pharmaceuticals Incorporated | 50 | $18,496 |
| Synthes USA Products LLC | 10 | $7,309 |
| Trilliant Surgical LLC. | 2 | $6,669 |
| Stryker(2 entities) | 31 | $3,433 |
| Restor3d, Inc. | 2 | $2,059 |
| Novus Surgical Consultants | 10 | $1,104 |
| Johnson & Johnson | 11 | $732 |
| Exactech, Inc. | 5 | $536 |
| Novus Surgical Solutions LLC | 2 | $249 |
| Integra Lifesciences Corporation | 3 | $155 |
| Trimed, Inc. | 2 | $144 |
| Arthrex | 1 | $48 |
| Nevro Corp. | 2 | $32 |
| Arteriocyte Medical Systems, 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.
- TrueLok$59,410
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$34,893
- EXPAREL$33,867
- NA$26,892
- JUNIORTHO PLATING SYSTEM$17,109
- TL-HEX$14,336
- RadioLucent Wrist Fixator$11,720
- LRS ADVanced$10,998
- TrueLok Ring Fixation System$10,777
- Stainless Steel Antegrade Nails$9,440
- Sheffield Ring Fixator$9,280
- Prefix 2$9,280
- DynaClip$9,237
- DynaClip Forte$9,237
- GALAXY Wrist$7,560
- EXTERNAL FIXATION$7,243
- PORD Device$6,829
- OSCAR3$6,509
- Gotfried PC.C.P.$4,480
- ISKD (Intramedullary Skeletal Kinetic Distractor)$4,278
How this compares
$246,338 in reported general payments places this provider in the 95th percentile of 575 foot & ankle 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| EliquisApixaban | 11 | $4,339 |
| Lidocaine | 25 | $1,464 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 50 | $377 |
| Oxycodone Hcl | 40 | $175 |
| Gabapentin | 52 | $170 |
| Dexamethasone Sodium Phosphate | 11 | $133 |
| Cyclobenzaprine Hcl | 20 | $100 |
| Cephalexin | 13 | $69 |
| Methylprednisolone | 11 | $49 |
| Tramadol Hcl | 15 | $42 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Williamsport
- William DecarboBelle Vernon$3.5M
- David PedowitzBryn Mawr$1.6M
- Noman SiddiquiScranton$1.3M
- Peter MangonePittsburgh$1.1M
- Stephen BrigidoBethlehem$656K
- Guido LaportaDunmore$625K
- Adam TeichmanAllentown$545K
- Thomas RocchioAllentown$524K
- Jason MillerMalvern$501K
- James SferraCranberry Township$451K
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.