Akash Gupta, MD
Foot and Ankle Surgery · Milwaukie, ORNPI 1093014771
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.2%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Stryker accounts for 82.5% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2024 at $26,521 and has fallen 97.5% since, to $665 in 2025. Among foot and ankle surgery clinicians in OR with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 122 payments — averaging $327.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$33K
- Steelhead Surgical Inc$4K
- Medical Device Business Services, Inc.$900
- Paragon 28, Inc.$427
- Johnson & Johnson$175
- Fusion Orthopedics USA, LLC$154
- plus $950 from 12 others
What the payments were for
- Consulting fees$22,84557%
- Travel & lodging$7,26718%
- Food & beverage$5,53914%
- Education$4,32111%
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 |
|---|---|---|
| Stryker(2 entities) | 83 | $32,961 |
| Steelhead Surgical Inc | 6 | $4,404 |
| Medical Device Business Services, Inc. | 1 | $900 |
| Paragon 28, Inc. | 6 | $427 |
| Johnson & Johnson | 6 | $175 |
| Fusion Orthopedics USA, LLC | 2 | $154 |
| Avanos Medical | 2 | $152 |
| Treace Medical Concepts, Inc. | 1 | $149 |
| Zimmer Biomet | 1 | $145 |
| Integra Lifesciences Corporation | 1 | $125 |
| Acumed LLC | 1 | $108 |
| Arteriocyte Medical Systems, Inc. | 3 | $60 |
| Spinesmith Holdings, LLC | 1 | $57 |
| Medtronic | 3 | $46 |
| Lifenet Health | 1 | $40 |
| Abbott | 2 | $27 |
| KCI USA, Inc. | 1 | $25 |
| Left Coast Surgical Inc | 1 | $16 |
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.
- PROstep$25,296
- PROSTEP MICA$9,558
- INFINITY$4,391
- LCP PLATES & SCREWS$900
- PRIME SERIES$462
- INBONE$265
- PERCUPLASTY TRAY$149
- AccuFill$145
- CARTIVA$138
- ON-Q* PUMP AND ACCESSORIES$138
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$125
- CADENCE ANKLE REPLACEMENT SYSTEM$125
- BIOFIX$125
- PANTA NAIL$125
- TOTAL FOOT SYSTEM$125
- Precision MIS Bunion$122
- Phantom Metatarsal Shortening$121
- PROPHECY$119
- AUGMENT INJECTABLE$110
- ACUMED$108
How this compares
$39,971 in reported general payments places this provider in the 95th percentile of 113 foot and ankle surgery providers in Oregon.
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 |
|---|---|---|
| Ibuprofen | 51 | $357 |
| Meloxicam | 35 | $297 |
| Oxycodone Hcl | 51 | $297 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Milwaukie
- Natalie MesnierPortland$339K
- Stephen WallaceLake Oswego$205K
- Scott BoyntonPortland$120K
- Andrew ShinabargerPortland$85K
- Cassandra TomczakTualatin$73K
- Timothy MineoGresham$25K
- Justin BrohardSalem$24K
- Trevor HaynesSandy$21K
- Kevin DriscollPortland$21K
- Michael MurdockAstoria$14K
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.