Bryan Lapinski, MD
Foot and Ankle Surgery · Hendersonville, TNNPI 1891734935
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (47.2%), food and beverage and education — rather than concentrated in one kind of arrangement. It is spread thinly across 12 manufacturers, the largest accounting for just 23.1%. 2025 is the largest year on record at $3,428, 6.8 times the $501 reported in 2019.
Across 93 payments — averaging $98.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$2K
- Stryker$2K
- Medical Device Business Services, Inc.$2K
- Paragon 28, Inc.$1K
- Arthrex$1K
- Treace Medical Concepts, Inc.$352
- plus $989 from 6 others
Across 7 payments — averaging $6107.92 each. An ownership or investment interest held by the physician or an immediate family member.
- 4web, Inc.$43K
What the payments were for
- Travel & lodging$4,34147%
- Food & beverage$3,64840%
- Education$1,20013%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 9 | $2,124 |
| Stryker(2 entities) | 26 | $1,772 |
| Medical Device Business Services, Inc. | 7 | $1,617 |
| Paragon 28, Inc. | 7 | $1,299 |
| Arthrex | 14 | $1,035 |
| Treace Medical Concepts, Inc. | 14 | $352 |
| Johnson & Johnson | 6 | $250 |
| Kuros Biosciences USA, Inc | 1 | $214 |
| Zimmer Biomet | 2 | $181 |
| Medshape, Inc. | 1 | $160 |
| Medwest Associates | 1 | $122 |
| Orthofix Medical, Inc. | 5 | $63 |
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.
- MOTOBAND$1,393
- APEX 3D$1,269
- INBONE$906
- INFINITY$528
- MagnetOs$214
- PROPHECY$157
- VA-LCP$146
- MICA$141
- EBI OsteoGen Implantable Bone Growth Stimulator$125
- TMC SPEEDMTP$106
How this compares
$9,188 in reported general payments places this provider in the 70th percentile of 145 foot and ankle 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 |
|---|---|---|
| Diclofenac Sodium | 91 | $981 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 69 | $382 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Hendersonville
- Daniel MendozaHendersonville$7K
- Sebastien DemoinyMorristown$210K
- Robert ThompsonMurfreesboro$205K
- Bhekumuzi KhumaloUnion City$201K
- Walter ButlerMemphis$191K
- Chad WebsterCordova$185K
- Christian SmithCordova$153K
- Frank OgnibeneMemphis$148K
- Garnett MurphyGermantown$130K
- Clayton BettinMemphis$89K
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.