May 3, 2022

New York, NY, May 3, 2022 – U.S. Foot & Ankle Specialists, LLC (“USFAS”), a portfolio company of NMS Capital (“NMS”), announced today that it has acquired Delaware Foot and Ankle Group, which operates three offices in Delaware. 

Since its incorporation in 1987, Delaware Foot and Ankle Group has provided cutting-edge podiatric diagnostic and treatment options to patients across Delaware, Maryland, Pennsylvania, and New Jersey. The practice treats a comprehensive range of podiatric concerns, including common issues like ingrown nails and warts, as well as complex rearfoot procedures, ankle surgeries and limb salvage procedures. It currently operates three offices in Newark, Christiana and Wilmington, along with a new office in Middletown set to open in the near term. Its founder, Dr. Ernest Troisi, DPM, FACFAS, completed his residency training at Giuffre Medical Center in Philadelphia and has been practicing for over three decades. He is a three-time Delaware Today “Top Doc” award winner.

Partnered with Dr. Troisi are two other Board-Certified podiatric physicians: Drs. Jason Kline, DPM, FACFAS and Anthony Caristo, DPM, FACFAS, CWSP. Dr. Kline graduated from Temple University School of Podiatric Medicine before completing a four-year residency program in podiatric foot and ankle surgery at the University of Pennsylvania / Presbyterian Medical Center in 2005. Dr. Caristo, a graduate of the Pennsylvania College of Podiatric Medicine, completed his surgical residency at Christiana Care Health Systems in 2000. All three physicians have active privileges at both St. Francis and Christiana Care hospitals, and work in the education and training of resident physicians. 

“At Delaware Foot and Ankle Group, we’re committed to providing the finest in podiatric care,” said Dr. Troisi. “Patient health is our top priority, and partnering with USFAS will help us expand our capabilities and grow our practice so we can better serve the patients who trust us with their care and treatment.”

“We’re very pleased that Delaware Foot and Ankle Group has joined our growing network of podiatric clinics,” said Cotton Hawes, Chief Executive Officer at USFAS. “Drs. Troisi, Kline, and Caristo have built an outstanding practice by being dedicated to their patients and team. We share that sense of purpose and are excited to have them as partners.”

With this partnership, Delaware Foot and Ankle Group will benefit from USFAS’ extensive administrative and support services, which include top-of-the-line information technology, a dedicated clinical compliance team, electronic medical records, payor credentialing and contracting, revenue cycle management, human resources, finance and accounting, and business development.

About U.S. Foot & Ankle Specialists

USFAS is a leading provider of podiatric services providing a full range of specialty services for the advanced treatment of foot and lower extremity conditions. Headquartered in Rockville, Maryland, USFAS provides services through a growing network of nearly 100 offices in Maryland, Virginia, Pennsylvania, Delaware, North Carolina, West Virginia, Ohio, and Washington, D.C., and over 100 Board Certified and Board Qualified podiatrists. USFAS is an affiliate of Foot & Ankle Specialists of the Mid-Atlantic and NMS Capital, with plans to expand nationally. For additional information on USFAS, visit the company’s website at

About NMS Capital

Founded in 2010, NMS Capital is an experienced private equity firm managing assets in excess of $1.4 billion. Since inception, NMS has partnered with management teams in over 100 investments and follow-on acquisitions across defined investment themes within the Business Services and Healthcare Services industries. The firm’s principal strategy is to create long-term value by providing strategic and operational resources to growth-oriented companies led by founders or experienced management teams. NMS has a track record of successfully building industry leading lower middle market companies in defensible and scalable end markets by accelerating organic and acquisition-driven growth. For additional information on NMS, please visit the firm’s website at Follow NMS Capital on

For further information

Brett Richey
Executive Chairman
US Foot & Ankle Specialists
(434) 373-0720