Bradley Herbst, DPM
Foot Surgery · Jacksonville, FLNPI 1750356127
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (53.1%), food and beverage and education — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Amgen at 42.2% of the total. Reporting peaked in 2019 at $11,680 and has fallen 96.8% since, to $372 in 2025. Among foot surgery clinicians in FL 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 218 payments — averaging $89.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$8K
- TEI Medical Inc.$4K
- Arthrex$4K
- Integra Lifesciences Corporation$2K
- Smith+Nephew$244
- Next Science LLC$158
- plus $1K from 36 others
What the payments were for
- Consulting fees$1,4637%
- Speaking & faculty fees$10,41353%
- Travel & lodging$6623%
- Food & beverage$3,63619%
- Education$3,43818%
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.
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.
- DUEXIS$4,493
- PRIMATRIX$3,987
- TCC-EZ$3,819
- BILAYER WOUND MATRIX (BWM)$1,463
- FLOWABLE$1,463
- INTEGRA WOUND MATRIX (IWM)$1,463
- IDRT$1,463
- INTEGRA$505
- RAYOS$361
- INTEGRA DERMAL REGENERATION TEMPLATE$168
- SurgX$146
- Xperience$146
- BlastX$146
- KRYSTEXXA$125
- 7 X 23MM CITRELOCK IMPLANT$124
How this compares
$19,611 in reported general payments places this provider in the 95th percentile of 107 foot surgery providers in Florida.
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 |
|---|---|---|
| Naproxen | 124 | $856 |
| Methylprednisolone | 69 | $493 |
| Cephalexin | 40 | $196 |
| Ciprofloxacin Hcl | 22 | $194 |
| Meloxicam | 58 | $171 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $95 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Jacksonville
- Larry HodsonPanama City$413K
- Bret BrennanTampa$60K
- Amy DunetzAventura$14K
- Than Binh NguyenTampa$13K
- Orlando CedenoJupiter$13K
- Karen LeePembroke Pines$12K
- Nicole GortaireSt Augustine$11K
- Alix CharlesPlantation$8K
- Melissa PerlmanPembroke Pines$7K
- Allison GuyenMiami Beach$7K
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.