Adam Lukasiewicz, MD
Foot and Ankle Surgery · Birmingham, ALNPI 1558718601
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (48.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Arthrex at 48.3% of the total. Reporting peaked in 2022 at $7,592 and has fallen 79.2% since, to $1,582 in 2025.
Across 76 payments — averaging $131.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Stryker$2K
- Supreme Orthopedic Systems, LLC$1K
- Encore Medical, LP$584
- Paragon 28, Inc.$465
- Exactech, Inc.$273
- plus $1K from 16 others
What the payments were for
- Travel & lodging$1,48315%
- Food & beverage$3,72537%
- Education$4,80048%
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 |
|---|---|---|
| Arthrex | 17 | $4,831 |
| Stryker | 21 | $1,585 |
| Supreme Orthopedic Systems, LLC | 2 | $1,212 |
| Encore Medical, LP | 1 | $584 |
| Paragon 28, Inc. | 6 | $465 |
| Exactech, Inc. | 2 | $273 |
| Smith+Nephew | 2 | $177 |
| Johnson & Johnson | 3 | $160 |
| Davol Inc. | 1 | $133 |
| Sanara Medtech Inc. | 1 | $127 |
| Orthofix Medical, Inc. | 2 | $77 |
| Pacira Pharmaceuticals Incorporated | 3 | $61 |
| Vertex | 3 | $58 |
| Bioventus LLC | 2 | $47 |
| Convatec Inc. | 2 | $42 |
| Illuminoss Medical, Inc. | 1 | $37 |
| Amgen | 2 | $35 |
| SPR Therapeutics, Inc | 1 | $31 |
| Molnlycke Health Care US, LLC | 1 | $26 |
| Solventum Corporation | 1 | $18 |
| Conmed Corporation | 1 | $18 |
| Kerecis Limited | 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.
- DJO SURGICAL$584
- AUGMENT INJECTABLE$536
- VANTAGE$273
- NA$217
- PANGEA$175
- TOTAL TALUS$175
- ORTHOLOC 3DI$156
- GRAVITY SYNCHFIX$148
- Bioinductive Implant with Arthroscopic Delivery System - Medium$142
- Q-FIX$142
- ARISTA AH FLEXITIP$133
- CellerateRx$127
- Bun-Yo-Matic$121
- INFINITY$120
- MOTOBAND$108
- HAMMERLOCK$108
- CARTIVA SYNTHETIC CARTILAGE IMPLANT$101
How this compares
$10,008 in reported general payments places this provider in the 70th percentile of 40 foot and ankle surgery providers in Alabama.
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 |
|---|---|---|
| Oxycodone Hcl | 164 | $674 |
| Gabapentin | 68 | $605 |
| Duloxetine Hcl | 24 | $311 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 50 | $297 |
| Meloxicam | 66 | $270 |
| Cefadroxil | 30 | $230 |
| Ondansetron Hcl | 68 | $175 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Birmingham
- Norman WaldropBirmingham$3.6M
- Ashish ShahBirmingham$28K
- Swapnil SinghBirmingham$14K
- Mary GilmerBirmingham$8K
- Danalynn GuasteferroBirmingham$5K
- Kenneth UngerBirmingham$4K
- Francisco CaycedoBirmingham$3K
- Ronald AgeeBirmingham$2K
- Justin DaigreDecatur$372K
- John KirchnerHoover$84K
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.