Brett Vessell
Foot & Ankle Surgery · Austin, TXNPI 1992188437
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (41.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 23 manufacturers reported payments, led by Stryker at 37.7% of the total. Reporting peaked in 2019 at $6,893 and has fallen 94.2% since, to $401 in 2025.
Across 241 payments — averaging $64.83 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Alpha Orthopedic Systems$5K
- Arthrex$2K
- Smith+Nephew$1K
- Misonix Inc$515
- Organogenesis Inc.$316
- plus $670 from 17 others
What the payments were for
- Travel & lodging$2,93719%
- Food & beverage$6,26840%
- Education$6,41941%
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 | $5,889 |
| Alpha Orthopedic Systems | 7 | $5,283 |
| Arthrex | 3 | $1,853 |
| Smith+Nephew | 79 | $1,099 |
| Misonix Inc | 33 | $515 |
| Organogenesis Inc. | 8 | $316 |
| Bioventus LLC | 3 | $154 |
| Melinta Therapeutics, LLC | 4 | $71 |
| Surmodics, Inc. | 1 | $58 |
| Acera Surgical, Inc. | 2 | $57 |
| Orthofix Medical, Inc. | 2 | $51 |
| Merck | 3 | $44 |
| W. L. Gore & Associates, Inc. | 1 | $36 |
| AbbVie | 2 | $33 |
| Core Surgical Group | 1 | $32 |
| Celularity Inc. | 2 | $29 |
| Amgen | 1 | $26 |
| Aroa Biosurgery Incorporated | 1 | $17 |
| Sanara Medtech Inc. | 1 | $14 |
| Johnson & Johnson | 1 | $13 |
| Dynasplint Systems Inc. | 1 | $13 |
| Treace Medical Concepts, Inc. | 1 | $12 |
| Zyla Life Sciences, Inc. | 1 | $11 |
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.
- VARIAX$1,789
- ANCHORAGE$1,057
- SONICANCHOR$837
- SMART TOE$837
- SALVATION$661
- ORTHOLOC 2 LAPIFUSE$303
- ORTHOLOC$296
- Stravix$250
- PuraPly$236
- PROSTEP MICA$168
- CITREFIX$158
- INBONE$142
- BIO4$136
- PICO 7 Single Use Negative Pressure Wound Therapy$133
- Grafix$125
- GRAFIX PL$125
- G-FORCE$123
- T2$117
How this compares
$15,625 in reported general payments places this provider in the 80th percentile of 684 foot & ankle surgery providers in Texas.
Other foot & ankle surgery in Austin
- Mark DaltonAustin$1.9M
- Andrew EbertAustin$82K
- Pedro CosculluelaAustin$69K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.