Collin Pehde
Foot & Ankle Surgery · San Antonio, TXNPI 1740272491
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.5%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 39 manufacturers reported payments, led by Orthofix Medical, Inc. at 57.1% of the total. Reporting peaked in 2022 at $15,069 and has fallen 85.5% since, to $2,185 in 2025. Among foot & ankle surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 249 payments — averaging $195.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$28K
- Stryker$6K
- Kerecis Limited$2K
- Wardlow Enterprises$2K
- Medical Device Business Services, Inc.$1K
- Organogenesis Inc.$1K
- plus $8K from 33 others
What the payments were for
- Consulting fees$26,00954%
- Speaking & faculty fees$1,7904%
- Travel & lodging$7,46715%
- Food & beverage$10,62122%
- Education$2,7186%
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.
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.
- JUNIORTHO PLATING SYSTEM$15,968
- TrueLok$7,104
- Kerecis SurgiClose$6,400
- EXTERNAL FIXATION$2,726
- Ankle Compression Nail (ACN)$1,705
- MiniRail System$1,705
- ISKD (Intramedullary Skeletal Kinetic Distractor)$1,705
- Pelvic Fixator$1,705
- Galaxy UNYCO$1,705
- Kerecis GraftGuide$1,600
- HOFFMANN$1,439
- GALAXY Fixation$960
- TL-HEX$960
- TrueLok Ring Fixation System$960
- XCaliber Articulated Ankle Fixator$960
- PRIME SERIES$856
- M2 Multiplanar MiniRail$853
- Fragment Fixation System (FFS)$853
- AHN$853
- Retronail - Ankle Arthrodesis$853
How this compares
$48,604 in reported general payments places this provider in the 90th percentile of 684 foot & ankle surgery providers in Texas.
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 | 27 | $1,093 |
| Gabapentin | 20 | $303 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $190 |
| Doxycycline Hyclate | 16 | $164 |
| Tramadol Hcl | 23 | $68 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in San Antonio
- Ian BarronSan Antonio$162K
- Walter StrashSan Antonio$86K
- Thomas ZgonisSan Antonio$79K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
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.