Darren di Iulio, DPM
Foot & Ankle Surgery · Newport, KYNPI 1609075720
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (49.8%), travel and lodging and education — rather than concentrated in one kind of arrangement. Stryker accounts for 60.4% of it on its own, with 25 other manufacturers making up the rest. Reporting peaked in 2019 at $3,317 and has fallen 78.8% since, to $703 in 2025.
Across 84 payments — averaging $81.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Legacy Ortho LLC$1K
- Melinta Therapeutics, LLC$256
- Biotissue Holdings Inc.$164
- Paragon 28, Inc.$163
- Integra Lifesciences Corporation$149
- plus $710 from 20 others
What the payments were for
- Travel & lodging$2,24733%
- Food & beverage$3,41350%
- Education$1,20017%
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 | 35 | $4,141 |
| Legacy Ortho LLC | 3 | $1,277 |
| Melinta Therapeutics, LLC | 4 | $256 |
| Biotissue Holdings Inc. | 1 | $164 |
| Paragon 28, Inc. | 4 | $163 |
| Integra Lifesciences Corporation | 4 | $149 |
| Amgen | 1 | $117 |
| IBSA Pharma Inc. | 5 | $88 |
| Zimmer Biomet | 4 | $77 |
| Wound Management Technologies, Inc | 1 | $48 |
| Treace Medical Concepts, Inc. | 1 | $45 |
| Assertio Therapeutics, Inc. | 3 | $40 |
| Nevro Corp. | 2 | $37 |
| AbbVie | 2 | $35 |
| Reprise Biomedical, Inc. | 2 | $30 |
| Merck | 2 | $28 |
| KCI USA, Inc. | 1 | $28 |
| Organogenesis Inc. | 1 | $21 |
| Alfasigma USA, Inc. | 1 | $20 |
| Amarin Pharma, Inc. | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Averitas Pharma Inc. | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $13 |
| Smith+Nephew | 1 | $12 |
| Johnson & Johnson | 1 | $12 |
| Arthrosurface Incorporated | 1 | $11 |
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.
How this compares
$6,860 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Pregabalin | 24 | $2,474 |
| Celecoxib | 17 | $2,142 |
| Gabapentin | 99 | $787 |
| Allopurinol | 52 | $684 |
| Ciclopirox | 22 | $343 |
| Ketoconazole | 16 | $321 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 27 | $313 |
| Terbinafine Hcl | 29 | $306 |
| Doxycycline Monohydrate | 26 | $273 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $138 |
| Clindamycin Hcl | 13 | $102 |
| Ammonium Lactate | 12 | $73 |
| Mupirocin | 17 | $61 |
| Ibuprofen | 12 | $37 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Newport
- 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.