Activ.A.C.
Payments companies reported to CMS as associated with Activ.A.C.. "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 Activ.A.C., 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 Activ.A.C.
These are the largest totals companies reported as associated with Activ.A.C.. 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) |
|---|---|---|---|
| Michael Desvigne | Glendale, AZ | Plastic and Reconstructive Surgery | $148,756.26 |
| Ralph Napolitano | New Albany, OH | Podiatrist | $130,502.25 |
| Robert Klein | Greenville, SC | Foot & Ankle Surgery | $99,868.90 |
| Aladdin Hassanein | Indianapolis, IN | Plastic and Reconstructive Surgery | $97,000.00 |
| Emily Greenstein | Fargo, ND | Nurse Practitioner | $78,133.61 |
| Catherine Milne | Plymouth, CT | Nurse Practitioner | $34,646.33 |
| Alisha Oropallo | Mineola, NY | Vascular Surgery | $33,155.95 |
| Kersten Reider | Mount Penn, PA | Primary Care | $28,206.30 |
| Philip Wrotslavsky | Poway, CA | Podiatrist | $24,697.61 |
| Terry Treadwell | Montgomery, AL | Surgery | $21,794.19 |
Prescribed Activ.A.C.?
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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.