Charles Cibula
Foot & Ankle Surgery · Cedar Falls, IANPI 1750590246
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (37.6%), food and beverage and education — rather than concentrated in one kind of arrangement. 31 manufacturers reported payments, led by Stryker at 48.3% of the total. Reporting peaked in 2021 at $12,180 and has fallen 76.4% since, to $2,879 in 2025. Among foot & ankle surgery clinicians in IA 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 351 payments — averaging $107.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$18K
- Wardlow Enterprises$7K
- Arthrex$6K
- Trilliant Surgical LLC.$2K
- Exactech, Inc.$862
- International Life Sciences$814
- plus $3K from 25 others
What the payments were for
- Speaking & faculty fees$1,0003%
- Travel & lodging$14,21638%
- Food & beverage$11,67031%
- Education$10,89129%
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 |
|---|---|---|
| Stryker(2 entities) | 189 | $18,252 |
| Wardlow Enterprises | 22 | $7,188 |
| Arthrex | 35 | $5,971 |
| Trilliant Surgical LLC. | 4 | $1,901 |
| Exactech, Inc. | 3 | $862 |
| International Life Sciences | 3 | $814 |
| Johnson & Johnson | 13 | $612 |
| Smith+Nephew | 15 | $387 |
| Organogenesis Inc. | 17 | $373 |
| Treace Medical Concepts, Inc. | 10 | $327 |
| AbbVie(2 entities) | 8 | $176 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $96 |
| Vertex | 3 | $94 |
| Amgen(2 entities) | 6 | $92 |
| Prism Medical | 2 | $87 |
| Kuros Biosciences USA, Inc | 1 | $74 |
| Medshape, Inc. | 1 | $66 |
| Novastep Inc. | 1 | $56 |
| Next Science LLC | 1 | $48 |
| Convatec Inc. | 2 | $46 |
| DJO, LLC | 2 | $45 |
| Davol Inc. | 1 | $39 |
| Medela LLC | 1 | $30 |
| Zimmer Biomet | 2 | $29 |
| Integra Lifesciences Corporation | 1 | $27 |
| Paratek Pharmaceuticals, Inc. | 1 | $21 |
| Encore Medical, LP | 1 | $16 |
| Heron Therapeutics, Inc. | 1 | $14 |
| Osiris Therapeutics Inc. | 1 | $14 |
| Kerecis Limited | 1 | $13 |
| Orthofix Medical, Inc. | 2 | $8 |
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.
- PROstep$4,673
- STAR$2,048
- MIB$1,831
- INBONE$1,599
- PROPHECY$1,106
- INFINITY$1,051
- INVISION$871
- VANTAGE$862
- AUGMENT INJECTABLE$833
- VARIAX$792
- T2$792
- FLEXBAND$762
- PRIME SERIES$585
- SALVATION$498
- ORTHOLOC 2 LAPIFUSE$473
- PROSTEP MICA$285
- ALLOPURE$179
- MAKO$176
- 7 X 23MM CITRELOCK IMPLANT$174
- ORTHOLOC 3DI CROSSCHECK$170
How this compares
$37,777 in reported general payments places this provider in the 95th percentile of 112 foot & ankle surgery providers in Iowa.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 12 | $172 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Cedar Falls
- Nicholas SchmerbachCedar Falls$21K
- Philip MorrealeCedar Falls$8K
- Michael LeeDes Moines$2.1M
- Phinit PhisitkulSioux City$1.4M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Gregory FooteWaterloo$35K
- Nathan ShumwayCouncil Bluffs$33K
- Justin RaatzDes Moines$28K
- Tuvi MendelDavenport$26K
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.