Adam Nichols
Foot & Ankle Surgery · Sioux Falls, SDNPI 1063856136
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.6%), education and travel and lodging — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Conetic Solutions, Inc. at 32.8% of the total. Reporting peaked in 2021 at $1,200 and has fallen 81.4% since, to $223 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in SD, where the typical reported total is $3,662.
Across 49 payments — averaging $74.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Conetic Solutions, Inc.$1K
- Paragon 28, Inc.$916
- Smith+Nephew$573
- Integra Lifesciences Corporation$281
- Stryker$275
- Organogenesis Inc.$126
- plus $290 from 6 others
What the payments were for
- Travel & lodging$46113%
- Food & beverage$2,00055%
- Education$1,20033%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Conetic Solutions, Inc. | 1 | $1,200 |
| Paragon 28, Inc. | 8 | $916 |
| Smith+Nephew | 23 | $573 |
| Integra Lifesciences Corporation | 5 | $281 |
| Stryker | 3 | $275 |
| Organogenesis Inc. | 2 | $126 |
| Flower Orthopedics Coporation | 1 | $92 |
| Johnson & Johnson | 1 | $88 |
| Arthrex | 1 | $44 |
| KCI USA, Inc. | 2 | $34 |
| Medline Industries LP | 1 | $19 |
| Merck | 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.
- Hammertube Sterile Implant Kits$695
- SMART TOE$120
- VARIAX$120
- FLOWTRIEVER CATHETER, S$112
- CT THROMBECTOMY SYSTEM KIT$112
- OMNIGRAFT$108
- PRIMATRIX$108
- MEDIHONEY$108
- TCC-EZ$108
- AMNIOEXCEL$108
How this compares
$3,662 in reported general payments places this provider in the 50th percentile of 23 foot & ankle surgery providers in South Dakota.
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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 17 | $7,672 |
| Cefadroxil | 63 | $374 |
| Doxycycline Hyclate | 19 | $160 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $153 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 15 | $49 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $573 | $7,67217 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 50th percentile of 23 foot & ankle surgery providers in South Dakota.
Other foot & ankle surgery in Sioux Falls
- Ruth MoenSioux Falls$14K
- Gabriel RodriguezSioux Falls$5K
- Franklin AlvineSioux Falls$4K
- Darrel RichardsSioux Falls$3K
- Dustin LloydSioux Falls$2K
- Jessica ShawSioux Falls$254
- Travis VennerSioux Falls$174
- Jeffrey DomingueSioux Falls$133
- Garret WobstAberdeen$79K
- James JohnstonAberdeen$10K
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.