Alexander Pappas, MD
Foot and Ankle Surgery · Myrtle Beach, SCNPI 1912046715
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (41.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Medline Industries LP accounts for 96.3% of it on its own, with 13 other manufacturers making up the rest. 2025 is the largest year on record at $23,514, 5.1 times the $4,623 reported in 2019. Among foot and ankle surgery clinicians in SC 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 140 payments — averaging $745.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medline Industries LP$100K
- Arthrex$1K
- Stryker$1K
- Peerless Surgical Inc.$596
- Kerecis Limited$242
- Medshape, Inc.$193
- plus $369 from 8 others
What the payments were for
- Royalty or licence$43,73942%
- Consulting fees$39,90038%
- Speaking & faculty fees$6,0756%
- Travel & lodging$10,35910%
- Food & beverage$2,9833%
- Education$1,2001%
- Gifts$460%
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 |
|---|---|---|
| Medline Industries LP | 94 | $100,416 |
| Arthrex | 4 | $1,378 |
| Stryker(2 entities) | 27 | $1,108 |
| Peerless Surgical Inc. | 4 | $596 |
| Kerecis Limited | 1 | $242 |
| Medshape, Inc. | 1 | $193 |
| Flower Orthopedics Coporation | 1 | $106 |
| Sanara Medtech Inc. | 1 | $102 |
| AbbVie | 2 | $47 |
| Innovation Technologies Inc | 1 | $45 |
| DJO, LLC | 1 | $29 |
| Si-bone, Inc. | 1 | $14 |
| Heron Therapeutics, Inc. | 1 | $13 |
| Pacira Therapeutics, Inc. | 1 | $13 |
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.
- MEDLINE UNITE$119,974
- MEDLINE$76,706
- MEDLINE INDUSTRIES, INC.$62,738
- PENDING$38,353
- MJFS4536$18,134
- Dermatology and Wound Care$11,862
- Polyaxial Locking Miniscrew$8,214
- Nonlocking Screw$3,426
- Lapidus Plate$1,727
- Plates: Compression Plate, 2-Hole, Standard$1,727
- Plates: Compression Plate, 2-Hole, Long$1,727
- Plates: TN Fusion Plate, Standard$1,727
- Plates: TN Fusion Plate, Large$1,727
- Plates: NC Fusion Plate, Standard, Left$1,257
- Plates: NC Fusion Plate, Standard, Right$1,257
- Plates: Middle Colum NC2M2 Plate, Standard$1,257
- Plates: Middle Colum NC2M2 Plate, Long$1,257
- Plates: Lisfranc Plate, 1st TMT, Left$1,257
- Caddies: Unite Medical Malleolus Peg Caddy$1,125
- Medline Unite Foot Plating System$842
How this compares
$104,301 in reported general payments places this provider in the 90th percentile of 87 foot and ankle surgery providers in South Carolina.
See all foot and ankle surgery providers in South Carolina →
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 | 151 | $1,041 |
| Ondansetron Hcl | 141 | $317 |
| Cephalexin | 24 | $308 |
| Gabapentin | 25 | $116 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 17 | $61 |
| Ibuprofen | 12 | $47 |
| Tramadol Hcl | 13 | $27 |
| Meloxicam | 12 | $21 |
| Amoxicillin | 16 | $16 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Myrtle Beach
- Joseph MennMyrtle Beach$1K
- Benjamin OverleyHilton Head Island$643K
- Tyler GonzalezColumbia$525K
- Alison GartenRock Hill$419K
- Christopher GrossCharleston$394K
- Robert KleinGreenville$358K
- William JamesColumbia$222K
- William HarrisLancaster$203K
- John WomackGreenville$96K
- Michelle ButterworthKingstree$54K
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.