Colby Holmes, DPM
Foot & Ankle Surgery · Morehead, KYNPI 1679956098
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (42.3%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 26 manufacturers reported payments, led by Vilex LLC at 55.2% of the total. Reporting peaked in 2024 at $10,885 and has fallen 79.2% since, to $2,259 in 2025.
Across 98 payments — averaging $217.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vilex LLC$12K
- Treace Medical Concepts, Inc.$3K
- Arthrex$3K
- Kerecis Limited$1K
- Legacy Ortho LLC$436
- Smith+Nephew$251
- plus $1K from 20 others
What the payments were for
- Consulting fees$9,01442%
- Travel & lodging$6,70531%
- Food & beverage$3,16715%
- Education$2,40011%
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 |
|---|---|---|
| Vilex LLC | 8 | $11,756 |
| Treace Medical Concepts, Inc. | 9 | $3,341 |
| Arthrex | 9 | $3,051 |
| Kerecis Limited | 10 | $1,197 |
| Legacy Ortho LLC | 2 | $436 |
| Smith+Nephew | 13 | $251 |
| Integra Lifesciences Corporation | 10 | $226 |
| Stryker | 9 | $177 |
| Paragon 28, Inc. | 1 | $148 |
| Organogenesis Inc. | 2 | $143 |
| Averitas Pharma Inc. | 3 | $78 |
| Solventum Corporation | 3 | $67 |
| Polynovo North America LLC | 3 | $62 |
| Mimedx Group, Inc. | 2 | $52 |
| Zimmer Biomet | 1 | $46 |
| Tactile Systems Technology Inc | 1 | $42 |
| Johnson & Johnson | 1 | $33 |
| Convatec Inc. | 2 | $32 |
| Orthofix Medical, Inc. | 2 | $30 |
| KCI USA, Inc. | 1 | $23 |
| Davol Inc. | 1 | $22 |
| SPR Therapeutics, Inc | 1 | $18 |
| Vertex | 1 | $15 |
| AbbVie | 1 | $14 |
| Paratek Pharmaceuticals, Inc. | 1 | $14 |
| Melinta Therapeutics, LLC | 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.
- Artemis$8,114
- Lapiplasty System$3,285
- Kerecis Omega3 Marigen$2,986
- SRI Lapidus$1,986
- Kerecis Omega3 SurgiClose$1,804
- ARTEMIS Lapidus - R&D$1,215
- Kerecis Omega3 GraftGuide$646
- HINTERMANN$417
- Precision MIS Bunion$148
- PuraPly$123
How this compares
$21,285 in reported general payments places this provider in the 85th percentile of 141 foot & ankle surgery providers in Kentucky.
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 |
|---|---|---|
| Tobramycin Sulfate | 15 | $39,536 |
| NitrofurantoinNitrofurantoin Macrocrystal | 18 | $11,168 |
| Vancomycin Hcl | 27 | $9,294 |
| Itraconazole | 17 | $2,486 |
| Doxycycline Monohydrate | 43 | $1,116 |
| Neomycin Sulfate | 19 | $492 |
| Meloxicam | 12 | $414 |
| Diclofenac Sodium | 19 | $319 |
| Clotrimazole | 21 | $302 |
| Triamcinolone Acetonide | 16 | $186 |
| Duloxetine Hcl | 12 | $167 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 37 | $150 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $145 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 39 | $102 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 26 | $85 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Morehead
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Bradford FineLexington$82K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- Russell BakerCarrollton$27K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$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.