Brandon Mecham
Foot & Ankle Surgery · Rockwall, TXNPI 1922395821
Payments from drug & device makers
Across 296 payments — averaging $34.60 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Integra Lifesciences Corporation$3K
- Smith+Nephew$1K
- KCI USA, Inc.$615
- Amgen$240
- Bioventus LLC$156
- plus $836 from 16 others
What the payments were for
- Consulting fees$5005%
- Travel & lodging$1,21612%
- Food & beverage$7,69175%
- Education$8358%
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 |
|---|---|---|
| Stryker(2 entities) | 83 | $4,420 |
| Integra Lifesciences Corporation | 100 | $2,534 |
| Smith+Nephew | 51 | $1,440 |
| KCI USA, Inc. | 2 | $615 |
| Amgen(2 entities) | 20 | $240 |
| Bioventus LLC | 8 | $156 |
| Johnson & Johnson | 5 | $147 |
| Merck | 1 | $97 |
| Pylant Medical | 4 | $83 |
| Paratek Pharmaceuticals, Inc. | 4 | $80 |
| Treace Medical Concepts, Inc. | 3 | $77 |
| In2bones USA, LLC | 1 | $61 |
| Orthofix Medical, Inc. | 2 | $43 |
| Medtronic | 2 | $39 |
| Amniox Medical, Inc. | 1 | $37 |
| Kowa Pharmaceuticals America, Inc. | 2 | $34 |
| Bone Support Inc. | 1 | $32 |
| Nabriva Therapeutics, PLC | 2 | $28 |
| Vertex | 1 | $26 |
| BD | 1 | $22 |
| Axogen | 1 | $15 |
| Fidia Pharma USA Inc. | 1 | $14 |
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.
- INTEGRA$1,278
- PROstep$1,216
- VAC VERAFLO$615
- PROSTEP MICA$601
- INTEGRA DERMAL REGENERATION TEMPLATE$426
- PRIMATRIX$426
- INFINITY$234
- Cadence$146
- EVOS$146
- Taylor Spatial Frame$146
- Foot and Ankle$120
- Healicoil$104
How this compares
$10,241 in reported general payments places this provider in the 70th percentile of 684 foot & ankle surgery providers in Texas.
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 |
|---|---|---|
| Ciclopirox | 78 | $2,398 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 62 | $578 |
| Gabapentin | 46 | $557 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $348 |
| Econazole Nitrate | 11 | $331 |
| Doxycycline Hyclate | 23 | $229 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 22 | $222 |
| Terbinafine Hcl | 20 | $212 |
| Celecoxib | 18 | $172 |
| Tramadol Hcl | 30 | $160 |
| Mupirocin | 15 | $126 |
| Meloxicam | 23 | $77 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Rockwall
- Matthew BrittRockwall$103K
- Richard PollakSan Antonio$6.1M
- Joseph CaporussoMcAllen$6M
- Mark DaltonAustin$4.1M
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Chad HowzeSan Antonio$2.4M
- Graham HamiltonEdinburg$2.1M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$972K
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.