Coastal Technology Solutions LLC

Reporting payments is a legal requirement; large totals often reflect large product portfolios.

$8,974general payments (2019-2025)
$0.00research payments (2019-2025)
33clinicians paid

General and research payments are shown separately, never blended. Research payments are often institution-directed and tied to clinical trials.

General payments by year

2025 $8,974

General payments only, as reported to CMS. Research payments are totaled above and not included in these bars.

Specialties it works with most

Orthopaedic Surgery $1,973
Foot and Ankle Surgery $1,961
Physician Assistant $1,709
Sports Medicine (Orthopaedic Surgery) $1,121
Neurological Surgery $676
Hand Surgery $616

Clinicians with the largest reported totals

Often long-running consulting, speaking, or advisory relationships, which companies must report by law. A large total is not evidence of anything improper.

ClinicianLocationSpecialtyGeneral payments (2019-2025)
Helena Meyer Dartmouth, MA Foot and Ankle Surgery $1,312.73
Stephen Marcaccio East Providence, RI Orthopaedic Surgery $755.22
Robin Babadjouni Providence, RI Neurological Surgery $676.42
Jason Tartaglione Warwick, RI Foot and Ankle Surgery $648.29
Jason Pinho Farmington, CT Physician Assistant $615.02
Robert Waskowitz Plainville, CT Sports Medicine (Orthopaedic Surgery) $611.11
Christopher Nacca Attleboro, MA Orthopaedic Surgery $557.48
Isabelle Nilerud Warwick, RI Physician Assistant $547.09
Caroline Cardosa Warwick, RI Physician Assistant $547.09
Antonio Cusano Farmington, CT Orthopaedic Surgery $524.53

Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.