Casey Bowles
Foot & Ankle Surgery · Olympia, WANPI 1689916728
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (55.7%), food and beverage and education — rather than concentrated in one kind of arrangement. 21 manufacturers reported payments, led by Musculoskeletal Transplant Foundation Inc. at 27.4% of the total. Reporting peaked in 2019 at $5,249 and has fallen 92.6% since, to $387 in 2025.
Across 95 payments — averaging $111.86 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Musculoskeletal Transplant Foundation Inc.$3K
- Smith+Nephew$2K
- Paragon 28, Inc.$2K
- CPM Medical Consultants, LLC$1K
- Arthrex$1K
- Summit Surgical Corp.$527
- plus $1K from 15 others
What the payments were for
- Travel & lodging$5,91456%
- Food & beverage$4,23940%
- Education$4744%
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 |
|---|---|---|
| Musculoskeletal Transplant Foundation Inc. | 4 | $2,911 |
| Smith+Nephew | 22 | $2,282 |
| Paragon 28, Inc. | 9 | $1,757 |
| CPM Medical Consultants, LLC | 13 | $1,048 |
| Arthrex | 8 | $1,020 |
| Summit Surgical Corp. | 5 | $527 |
| Treace Medical Concepts, Inc. | 8 | $313 |
| Nevro Corp. | 5 | $218 |
| 4web, Inc. | 1 | $137 |
| Fusion Orthopedics USA, LLC | 4 | $98 |
| Organogenesis Inc. | 3 | $87 |
| Amgen | 3 | $57 |
| Orthofix Medical, Inc. | 2 | $38 |
| Bioventus LLC | 1 | $20 |
| Biowound Solutions, Inc. | 1 | $20 |
| Johnson & Johnson | 1 | $19 |
| Maruho Medical, Inc. | 1 | $18 |
| Zimvie Inc. | 1 | $15 |
| Cook Medical LLC | 1 | $15 |
| Merck | 1 | $14 |
| AbbVie | 1 | $13 |
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.
- Grafix$863
- RENASYS TOUCH$863
- PICO$863
- Versajet$863
- INTEGRA$796
- Portfolio$437
- Stravix$149
- OSTEOTOMY TRUSS SYSTEM$137
How this compares
$10,627 in reported general payments places this provider in the 85th percentile of 203 foot & ankle surgery providers in Washington.
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 |
|---|---|---|
| Cephalexin | 114 | $1,202 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 37 | $719 |
| Terbinafine Hcl | 55 | $666 |
| Nitro-BidNitroglycerin | 11 | $480 |
| Ketoconazole | 20 | $396 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 47 | $288 |
| Gabapentin | 39 | $274 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 60 | $272 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 29 | $264 |
| Clindamycin Hcl | 20 | $231 |
| Ammonium Lactate | 11 | $220 |
| Methylprednisolone | 18 | $122 |
| Levofloxacin | 12 | $83 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $68 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Olympia
- Richard LamourOlympia$87K
- Timothy DumontierOlympia$9K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Craig CliffordFederal Way$44K
- Shawn KhademiRenton$43K
- Gregory GrabowskiBellevue$34K
- Jacob McLeodLongview$34K
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.