Brian Battles, DPM
Foot & Ankle Surgery · Waco, TXNPI 1194790303
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (50.1%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 15 manufacturers reported payments, led by Arthrex at 28.9% of the total. Reporting peaked in 2020 at $1,430 and has fallen 79.1% since, to $300 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in TX, where the typical reported total is $3,901.
Across 38 payments — averaging $83.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$919
- Pylant Medical$679
- Stryker$552
- Medical Device Business Services, Inc.$198
- Averitas Pharma Inc.$179
- Globus Medical$137
- plus $518 from 9 others
What the payments were for
- Travel & lodging$2779%
- Food & beverage$1,31141%
- Education$1,59550%
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 |
|---|---|---|
| Arthrex | 5 | $919 |
| Pylant Medical | 2 | $679 |
| Stryker(2 entities) | 12 | $552 |
| Medical Device Business Services, Inc. | 4 | $198 |
| Averitas Pharma Inc. | 3 | $179 |
| Globus Medical | 1 | $137 |
| Nevro Corp. | 1 | $134 |
| Osteomed LLC | 1 | $133 |
| Arthrosurface Incorporated | 1 | $109 |
| Biocomposites Inc | 1 | $30 |
| Crossroads Extremity Systems, LLC | 2 | $25 |
| KCI USA, Inc. | 1 | $24 |
| Lifenet Health | 2 | $22 |
| Johnson & Johnson | 1 | $21 |
| Abbott | 1 | $18 |
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.
- Senza$271
- FIXOS$230
- 7 X 23MM CITRELOCK IMPLANT$230
- ORTHOLOC 2 LAPIFUSE$230
- ORTHOLOC 3DI CROSSCHECK$230
- EXT-Extremilock Foot$133
- Qutenza$124
- Toe MotionTM$109
- HemiCAP$109
- Toemate$109
How this compares
$3,183 in reported general payments places this provider in the 40th 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 |
|---|---|---|
| Terbinafine Hcl | 249 | $1,681 |
| Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort | 13 | $865 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 76 | $473 |
| Doxycycline Monohydrate | 42 | $393 |
| Cephalexin | 75 | $381 |
| Mupirocin | 46 | $364 |
| Clotrimazole | 12 | $318 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 32 | $170 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 18 | $158 |
| Ondansetron Hcl | 34 | $134 |
| Prednisone | 36 | $100 |
| Clindamycin Hcl | 14 | $88 |
| Meloxicam | 19 | $70 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Waco
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
- Abdul NurudeenHouston$404K
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.