Seal
Payments companies reported to CMS as associated with Seal. "Associated with" is CMS's wording: it links a payment to a product without saying the money was spent on it.
By year
Payments reported as associated with Seal, per program year, as reported to CMS.
Who makes it
Specialties most often involved
Where the associated payments went, by the receiving clinician's specialty.
Clinicians most associated with Seal
These are the largest totals companies reported as associated with Seal. They are typically speaking or consulting arrangements, which companies must report by law; appearing here is not evidence of anything improper.
| Clinician | Location | Specialty | Associated payments (2023-2025) |
|---|---|---|---|
| Ronald Troxell | Trinity, FL | Foot & Ankle Surgery | $15,148.87 |
| Julio Perez-Mustelier | Fort Myers, FL | Foot & Ankle Surgery | $14,777.12 |
| Johanna Godoy | Wayne, NJ | Foot & Ankle Surgery | $12,642.10 |
| Mark Mendeszoon | Chardon, OH | Foot & Ankle Surgery | $8,984.29 |
| Dominic Rizzo | Blue Ash, OH | Foot & Ankle Surgery | $7,327.47 |
| Alec Dierksheide | Fort Myers, FL | Sports Medicine (Podiatrist) | $2,623.72 |
| Nadav Avner | Washington, DC | Podiatrist | $898.72 |
| Jack Bueno | Nashua, NH | Gastroenterology (Internal Medicine) | $27.15 |
| Gregory Mccarthy | Manchester, NH | Gastroenterology (Internal Medicine) | $27.14 |
| Umer Syed | Nashua, NH | Gastroenterology (Internal Medicine) | $27.14 |
Prescribed Seal?
See what its makers reported for your doctor. Two steps, private, no account.
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.