Daniel Spencer, DPM
Podiatrist · Traverse City, MINPI 1265924724
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 18.6%. Reporting peaked in 2023 at $2,016 and has fallen 83.6% since, to $330 in 2025.
Across 83 payments — averaging $83.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$1K
- Medwest Associates$1K
- Stryker$654
- Pylant Medical$581
- Integra Lifesciences Corporation$508
- Medical Device Business Services, Inc.$470
- plus $2K from 15 others
What the payments were for
- Travel & lodging$2,02729%
- Food & beverage$3,80855%
- Education$1,09116%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Paragon 28, Inc. | 15 | $1,291 |
| Medwest Associates | 5 | $1,099 |
| Stryker | 16 | $654 |
| Pylant Medical | 1 | $581 |
| Integra Lifesciences Corporation | 4 | $508 |
| Medical Device Business Services, Inc. | 2 | $470 |
| Arthrex | 4 | $462 |
| Organogenesis Inc. | 8 | $378 |
| Kerecis Limited | 2 | $254 |
| Amgen | 6 | $183 |
| Medline Industries LP | 2 | $181 |
| Smith+Nephew | 3 | $149 |
| Johnson & Johnson | 5 | $125 |
| Treace Medical Concepts, Inc. | 1 | $121 |
| Convatec Inc. | 1 | $117 |
| Abbott | 2 | $105 |
| Acera Surgical, Inc. | 1 | $69 |
| AbbVie | 2 | $65 |
| Extremity Medical | 1 | $52 |
| Linvatec Corporation | 1 | $39 |
| Bioventus LLC | 1 | $21 |
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.
- INTEGRA$1,243
- Kerecis SurgiClose$770
- INTEGRA DERMAL REGENERATION TEMPLATE$414
- PRIMATRIX$414
- PuraPly$236
- Kerecis GraftGuide$192
- Portfolio$156
- CITREFIX$138
- AUGMENT INJECTABLE$138
- PHALINX$138
- 7 X 23MM CITRELOCK IMPLANT$138
- METAL HEMI$138
- R3ACT$134
- KRYSTEXXA$126
- Grappler$125
- Lapiplasty System$121
- InnovaMatrix AC$117
- Bun-Yo-Matic$116
How this compares
$6,925 in reported general payments places this provider in the 85th percentile of 302 podiatrist providers in Michigan.
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 | 50 | $1,122 |
| Ammonium Lactate | 25 | $457 |
| Clotrimazole | 14 | $262 |
| Terbinafine Hcl | 12 | $142 |
| Doxycycline Hyclate | 13 | $76 |
| Gabapentin | 11 | $50 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Traverse City
- Jeffrey WeberTraverse City$9K
- William StychTraverse City$6K
- Ronald OlmTraverse City$6K
- Fadi JaafarAlma$191K
- Jeffrey KleinLivonia$117K
- Gary RothenbergAnn Arbor$85K
- Randy SemmaCommerce Twp$31K
- Alton JohnsonAnn Arbor$21K
- Krista KotzevaSouthfield$20K
- Darryl MartinsJackson$19K
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.