Brian Lepow, DPM
Foot & Ankle Surgery · Houston, TXNPI 1124286216
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.3%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 59 manufacturers reported payments, led by Limflow Inc. at 28.2% of the total. Among foot & ankle surgery clinicians in TX 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 382 payments — averaging $808.55 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Limflow Inc.$87K
- Inari Medical, Inc.$78K
- Stryker$35K
- Medline Industries LP$29K
- Bard Peripheral Vascular, Inc.$18K
- Lifenet Health$11K
- plus $51K from 53 others
Across 1 payment — averaging $2000.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Theramicro, Inc.$2K
What the payments were for
- Consulting fees$177,06957%
- Speaking & faculty fees$86,71328%
- Travel & lodging$18,5726%
- Food & beverage$18,3046%
- Education$2,0671%
- Other$6,1392%
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.
- LIMFLOW SYSTEM$160,325
- FLOWTRIEVER CATHETER, S$38,366
- CT THROMBECTOMY SYSTEM KIT$38,366
- Dermatology and Wound Care$19,655
- Kerecis SurgiClose$13,682
- TheraGenesis Wound Matrix$11,093
- LUTONIX$8,112
- Kerecis Omega3 SurgiClose$7,878
- Auryon Laser System 100-120 Vac$6,139
- GENERAL VASCULAR INTERVENTION$4,104
- BILAYER WOUND MATRIX (BWM)$3,861
- FLOWABLE$3,861
- INTEGRA WOUND MATRIX (IWM)$3,861
- IDRT$3,861
- Hyalomatrix Wound Device$3,597
- Kerecis GraftGuide$3,420
- Clarifi Imaging System$3,057
- Kerecis Omega3 GraftGuide$2,626
- Kerecis Omega3 Marigen$2,626
- XIAFLEX$2,530
How this compares
$308,865 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 76 | $586 |
| Gabapentin | 41 | $387 |
| Mupirocin | 35 | $318 |
| Ciprofloxacin Hcl | 18 | $117 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 17 | $90 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Houston
- Kevin VarnerHouston$1.1M
- Sherman NaglerHouston$602K
- Abdul NurudeenHouston$404K
- Orlando RiveraHouston$384K
- Yueh LeeHouston$95K
- William GranberryHouston$84K
- Nathaniel AlabiHouston$71K
- Jorge MatukHouston$45K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
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.