Brian Shwer
Foot Surgery · Memphis, TNNPI 1588667414
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $1,602 of the $2,133 with a category attached, or 75.1%. 18 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 47.0% of the total. Reporting peaked in 2023 at $1,207 and has fallen 91.2% since, to $106 in 2025.
Across 65 payments — averaging $32.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$1K
- Vaporox, Inc.$191
- Zyla Life Sciences, Inc.$179
- Smith+Nephew$132
- Amgen$131
- Stryker$109
- plus $390 from 12 others
What the payments were for
- Travel & lodging$53125%
- Food & beverage$1,60275%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 4 | $1,002 |
| Vaporox, Inc. | 2 | $191 |
| Zyla Life Sciences, Inc. | 32 | $179 |
| Smith+Nephew | 2 | $132 |
| Amgen | 2 | $131 |
| Stryker | 1 | $109 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 4 | $75 |
| Paratek Pharmaceuticals, Inc. | 4 | $61 |
| DJO, LLC | 2 | $51 |
| Melinta Therapeutics, LLC | 2 | $35 |
| Abbott | 2 | $34 |
| Merck | 2 | $34 |
| Globus Medical | 1 | $22 |
| Boston Scientific | 1 | $18 |
| Medtronic | 1 | $17 |
| Orthofix Medical, Inc. | 1 | $16 |
| Nevro Corp. | 1 | $14 |
| Paragon 28, Inc. | 1 | $12 |
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.
- Lapiplasty System$938
- VHT-200 Wound Treatment System$139
- REGRANEX$116
- CARTIVA$109
How this compares
$2,133 in reported general payments places this provider in the 65th percentile of 23 foot surgery providers in Tennessee.
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 | 293 | $6,551 |
| Diclofenac Sodium ErDiclofenac Sodium | 153 | $3,951 |
| Neomycin-Polymyxin-HydrocortNeomycin/Polymyxin B/Hydrocort | 47 | $2,636 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 103 | $2,397 |
| Mupirocin | 116 | $965 |
| Diclofenac Sodium | 34 | $704 |
| Methylprednisolone | 71 | $468 |
| Pregabalin | 26 | $456 |
| Doxycycline Hyclate | 48 | $449 |
| Clindamycin Hcl | 49 | $429 |
| Cephalexin | 115 | $418 |
| Gabapentin | 81 | $394 |
| Terbinafine Hcl | 14 | $257 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $226 |
| Meloxicam | 17 | $75 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Memphis
- David MoinesterMemphis$2K
- Brian KielMemphis$697
- Christopher JuelsCookeville$208K
- Joseph CreazzoMorristown$12K
- David VelardeKnoxville$11K
- David FranklinAlcoa$8K
- Carol AkermanKnoxville$6K
- Mark WrightMurfreesboro$5K
- James EngblomOak Ridge$2K
- Brian ChristiansenOak Ridge$2K
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.