Darrel Richards, DPM
Foot & Ankle Surgery · Sioux Falls, SDNPI 1861874075
Payments from drug & device makers
What this record shows
14 manufacturers reported payments, led by Conetic Solutions, Inc. at 44.1% of the total. Reporting peaked in 2021 at $1,279 and has fallen 64.2% since, to $457 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in SD, where the typical reported total is $3,662.
Across 55 payments — averaging $49.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Conetic Solutions, Inc.$1K
- Smith+Nephew$641
- Innovation Technologies Inc$157
- Integra Lifesciences Corporation$121
- Organogenesis Inc.$113
- Stryker$112
- plus $380 from 8 others
What the payments were for
- Food & beverage$1,52456%
- Education$1,20044%
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 |
|---|---|---|
| Conetic Solutions, Inc. | 1 | $1,200 |
| Smith+Nephew | 35 | $641 |
| Innovation Technologies Inc | 5 | $157 |
| Integra Lifesciences Corporation | 2 | $121 |
| Organogenesis Inc. | 2 | $113 |
| Stryker | 1 | $112 |
| Flower Orthopedics Coporation | 1 | $92 |
| Access Pro Medical, LLC | 1 | $66 |
| Davol Inc. | 1 | $66 |
| Paragon 28, Inc. | 2 | $56 |
| Bone Support Inc. | 1 | $52 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $18 |
| Bioventus LLC | 1 | $17 |
| Johnson & Johnson | 1 | $14 |
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.
- FLOWTRIEVER CATHETER, S$112
- CT THROMBECTOMY SYSTEM KIT$112
- OMNIGRAFT$108
- PRIMATRIX$108
- MEDIHONEY$108
- TCC-EZ$108
- AMNIOEXCEL$108
How this compares
$2,724 in reported general payments places this provider in the 40th percentile of 23 foot & ankle surgery providers in South Dakota.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $172 |
| Cephalexin | 17 | $67 |
| Meloxicam | 24 | $37 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Sioux Falls
- Ruth MoenSioux Falls$14K
- Gabriel RodriguezSioux Falls$5K
- Franklin AlvineSioux Falls$4K
- Adam NicholsSioux Falls$4K
- Dustin LloydSioux Falls$2K
- Jessica ShawSioux Falls$254
- Travis VennerSioux Falls$174
- Jeffrey DomingueSioux Falls$133
- Garret WobstAberdeen$79K
- James JohnstonAberdeen$10K
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.