Device Extremity, Lower Ff Restoration

Integra

Payments companies reported to CMS as associated with Integra. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.

$13Massociated payments (2023-2025)
17,101clinicians with associated payments
2companies reporting

By year

2023 $3.8M
2024 $4.3M
2025 $4.6M

Payments reported as associated with Integra, per program year, as reported to CMS.

Who makes it

Specialties most often involved

Plastic Surgery $2.7M
Foot & Ankle Surgery $2.0M
Surgery $1.8M
Plastic and Reconstructive Surgery $1.2M
Podiatrist $960K
Hand Surgery $522K

Where the associated payments went, by the receiving clinician's specialty.

Clinicians most associated with Integra

These are the largest totals companies reported as associated with Integra. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.

ClinicianLocationSpecialtyAssociated payments (2023-2025)
Ian Valerio Columbus, OH Plastic Surgery $461,547.94
Paul Deramo Provo, UT Plastic Surgery $314,465.29
Bruce Lawrence Oceanside, CA Podiatrist $297,008.11
Ryan Garcia Charlotte, NC Hand Surgery $275,449.51
Subhas Gupta Loma Linda, CA Plastic and Reconstructive Surgery $248,355.33
John Fischer Philadelphia, PA Plastic Surgery $220,065.38
Harrison Cotler Oakhurst, NJ Surgery $200,169.93
Brian Mailey Springfield, IL Plastic and Reconstructive Surgery $195,648.45
John Steinberg Washington, DC Foot & Ankle Surgery $185,012.98
Said Azoury Philadelphia, PA Surgery $173,414.36

Prescribed Integra?

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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.