Physician profile
Michael R Pagnotto
NPI 1821291238
$1,700.24
in general payments reported to CMS, 2019-2025
14 companies · $348 in 2025
The $348 reported for 2025 was less than what a typical Orthopaedic Surgery provider received nationally (typical 2025 total: $569).
Payments by year
General payments by program year, as reported to CMS.
General payments by year: 2019: $570 · 2020: $19.28 · 2021: $43.41 · 2022: $221 · 2023: $285 · 2024: $212 · 2025: $348.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Food and Beverage: $846.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Food and Beverage | $846.10 |
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 |
|---|---|---|---|
| Stryker Corporation | $521.68 | 2019-2025 | Mako, Inspace, Triathlon |
| Zimmer Biomet Holdings, INC. | $269.24 | 2019-2024 | |
| Innovation Technologies INC | $233.45 | 2022-2025 | Irrisept |
| Pacira Pharmaceuticals Incorporated | $174.94 | 2023-2025 | Exparel, Zilretta, Iovera |
| Depuy Synthes Sales INC. | $112.05 | 2019 | |
| Ferring Pharmaceuticals INC. | $107.36 | 2019-2025 | Euflexxa |
| Intuitive Surgical, INC. | $90.97 | 2019 | |
| Medtronic, INC. | $50.53 | 2024-2025 | Inceptiv, Intellis Adaptivestim |
| Medical Device Business Services, INC. | $40.27 | 2021-2023 | Actis |
| Bioventus LLC | $33.15 | 2022-2023 | Exogen Ultrasound Bone Healing System |
| Pacira Therapeutics, INC. | $19.28 | 2020 | |
| Coopersurgical, INC. | $18.13 | 2023 | Fisherbrand Disposable Liquid Infant Heel Warmer |
| Sanofi-Aventis U.S. LLC | $14.83 | 2019 | |
| Vertex Pharmaceuticals Incorporated | $14.36 | 2025 |
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 Michael Pagnotto 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.