Adam Crawford, MD
Foot and Ankle Surgery · Irving, TXNPI 1255530002
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $53,786 of the $63,385 with a category attached, or 84.9%. Trilliant Surgical LLC. accounts for 85.0% of it on its own, with 26 other manufacturers making up the rest. Reporting peaked in 2024 at $28,924 and has fallen 98.1% since, to $550 in 2025. Among foot and ankle surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 135 payments — averaging $469.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Trilliant Surgical LLC.$54K
- Arthrex$3K
- Pylant Medical$3K
- Anika Therapeutics, Inc.$1K
- Stryker$880
- Johnson & Johnson$513
- plus $2K from 21 others
What the payments were for
- Royalty or licence$53,78685%
- Travel & lodging$2,2434%
- Food & beverage$3,5956%
- Education$3,7616%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Trilliant Surgical LLC. | 11 | $53,880 |
| Arthrex | 15 | $3,023 |
| Pylant Medical | 13 | $2,569 |
| Anika Therapeutics, Inc. | 3 | $1,019 |
| Stryker(2 entities) | 24 | $880 |
| Johnson & Johnson(2 entities) | 21 | $513 |
| Bioventus LLC | 7 | $244 |
| Advanced Orthopaedic Solutions, Inc. | 1 | $236 |
| Treace Medical Concepts, Inc. | 5 | $221 |
| Ferring Pharmaceuticals Inc. | 6 | $140 |
| Endo Pharmaceuticals Inc. | 4 | $85 |
| Carbofix Orthopedics Inc | 1 | $72 |
| Axogen | 2 | $68 |
| Electronic Waveform Lab, Inc. | 2 | $64 |
| Smith+Nephew | 3 | $51 |
| Endo USA, Inc. | 2 | $49 |
| Pacira Therapeutics, Inc. | 2 | $40 |
| Integra Lifesciences Corporation | 3 | $38 |
| ERMI LLC | 1 | $30 |
| Amgen(2 entities) | 2 | $30 |
| Innovation Technologies Inc | 1 | $25 |
| Orthofix Medical, Inc. | 1 | $24 |
| Vertex | 1 | $22 |
| Molnlycke Health Care US, LLC | 1 | $19 |
| Zimmer Biomet | 1 | $18 |
| Curonix LLC | 1 | $14 |
| Illuminoss Medical, Inc. | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$53,786
- HemiCAP$600
- TACTOSET$419
- INFINITY$264
- AOS PRODUCTS$236
- Lapiplasty System$128
How this compares
$63,385 in reported general payments places this provider in the 90th percentile of 684 foot and ankle surgery providers in Texas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 148 | $1,441 |
| Celecoxib | 128 | $875 |
| Methylprednisolone | 114 | $804 |
| Meloxicam | 213 | $519 |
| Ketorolac Tromethamine | 11 | $255 |
| Ibuprofen | 26 | $210 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 39 | $202 |
| Tramadol Hcl | 59 | $177 |
| Gabapentin | 21 | $155 |
| Diclofenac Sodium | 12 | $141 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Irving
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
- Abdul NurudeenHouston$404K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.