Physician profile
James R Vavra
NPI 1619969391
$3,687.48
in general payments reported to CMS, 2019-2025
33 companies · $541 in 2025
The $541 reported for 2025 was more than what a typical Foot & Ankle Surgery provider received nationally (typical 2025 total: $424).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $1,200 · 2020: $324 · 2021: $453 · 2022: $313 · 2023: $238 · 2024: $620 · 2025: $541.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $1,398.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $1,397.97 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Paragon 28, INC. | $584.34 | 2019 | |
| Kerecis Limited | $563.71 | 2023-2025 | Kerecis Omega3 Marigen, Kerecis Surgiclose, Kerecis Omega3 Surgiclose |
| Smith+Nephew, INC. | $332.50 | 2019-2025 | Healicoil, Bone Anchors With Arthroscopic Delivery System, Footprint |
| Stryker Corporation | $309.51 | 2021-2025 | 7 X 23mm Citrelock Implant, Augment Injectable, Variax |
| Integra Lifesciences Corporation | $249.30 | 2021 | |
| Musculoskeletal Transplant Foundation INC. | $238.32 | 2020 | |
| Acell, INC. | $220.80 | 2019-2020 | |
| Organogenesis INC. | $164.40 | 2019-2023 | Puraply |
| Fusion Orthopedics USA, LLC | $160.31 | 2024-2025 | |
| Depuy Synthes Sales INC. | $128.36 | 2022-2025 | Dynatape, Gryphon Orthocord |
| Horizon Therapeutics Plc | $115.00 | 2019-2021 | |
| Merck Sharp & Dohme LLC | $95.21 | 2019 | |
| Djo, LLC | $47.70 | 2025 | Cmf |
| In2bones USA, LLC | $38.13 | 2021 | |
| Urgo Medical North America, LLC | $36.62 | 2023 | Vashe Wound Solution 250 Ml (8.5 Fl Oz) Flip Top Cap |
Show all 33 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Medtronic, INC. | $33.05 | 2024 | Intellis Adaptivestim |
| Acera Surgical, INC. | $32.32 | 2024 | Restrata Wound Matrix |
| Axogen | $31.66 | 2024 | Axoguard Nerve Connector, Avance Nerve Graft, Axoguard Ha+ Nerve Protector |
| Ani Pharmaceuticals, INC. | $29.96 | 2025 | Purified Cortrophin Gel |
| Bioventus LLC | $28.48 | 2022 | |
| Melinta Therapeutics, LLC | $27.15 | 2019 | |
| Orthofix Medical, INC. | $24.48 | 2022 | |
| Mimedx Group, INC. | $23.83 | 2024 | |
| Treace Medical Concepts, INC. | $22.81 | 2022 | |
| Solventum Corporation | $22.00 | 2025 | V.A.C. Veraflo, Prevena |
| Enduromed, LLC | $21.70 | 2024 | |
| Abbvie INC. | $17.89 | 2022 | |
| Paratek Pharmaceuticals, INC. | $17.11 | 2025 | Nuzyra |
| Arthrosurface Incorporated | $16.29 | 2019 | |
| Tactile Systems Technology INC | $14.33 | 2019 | |
| Kci USA, INC. | $14.32 | 2019 | |
| Polynovo North America LLC | $13.49 | 2025 | Novosorb Btm |
| Wright Medical Technology, INC. | $12.40 | 2019 |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw James Vavra listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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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.