David Farnen, DPM
Foot & Ankle Surgery · Spring Hill, TNNPI 1730445164
Payments from drug & device makers
Across 230 payments — averaging $22.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$1K
- Paragon 28, Inc.$671
- Organogenesis Inc.$539
- Kerecis Limited$488
- Paratek Pharmaceuticals, Inc.$244
- GRT US Holding, Inc.$241
- plus $2K from 32 others
What the payments were for
- Speaking & faculty fees$1172%
- Travel & lodging$3878%
- Food & beverage$4,64690%
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 |
|---|---|---|
| Smith+Nephew | 108 | $1,357 |
| Paragon 28, Inc. | 4 | $671 |
| Organogenesis Inc. | 21 | $539 |
| Kerecis Limited | 2 | $488 |
| Paratek Pharmaceuticals, Inc. | 13 | $244 |
| GRT US Holding, Inc. | 13 | $241 |
| Averitas Pharma Inc. | 6 | $162 |
| Stryker(2 entities) | 5 | $134 |
| Vertex | 4 | $127 |
| Osiris Therapeutics Inc. | 2 | $108 |
| ANI Pharmaceuticals, Inc. | 3 | $87 |
| AbbVie | 3 | $76 |
| Treace Medical Concepts, Inc. | 3 | $73 |
| Amgen | 4 | $72 |
| Acera Surgical, Inc. | 3 | $67 |
| Johnson & Johnson | 3 | $62 |
| Nevro Corp. | 3 | $61 |
| Abbott | 3 | $47 |
| Boston Scientific | 2 | $46 |
| Reprise Biomedical, Inc. | 2 | $46 |
| Acumed LLC | 2 | $44 |
| Nabriva Therapeutics, PLC | 3 | $44 |
| Osteocentric Technologies, Inc. | 1 | $37 |
| Integra Lifesciences Corporation | 2 | $35 |
| Crossroads Extremity Systems, LLC | 1 | $33 |
| KCI USA, Inc. | 2 | $32 |
| Novo Nordisk | 1 | $24 |
| Medtronic | 1 | $22 |
| Tactile Systems Technology Inc | 1 | $22 |
| IBSA Pharma Inc. | 1 | $21 |
| Lifenet Health | 1 | $21 |
| Arteriocyte Medical Systems, Inc. | 1 | $20 |
| Assertio Therapeutics, Inc. | 1 | $20 |
| Baudax Bio Inc. | 1 | $19 |
| Bioventus LLC | 1 | $16 |
| Zimmer Biomet | 1 | $15 |
| Radius Health, Inc. | 1 | $12 |
| Orthofix Medical, Inc. | 1 | $5 |
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.
- Kerecis Omega3 Wound$484
- Kerecis Omega3 Surgibind$484
- Kerecis Omega3 GraftGuide$484
- Kerecis Omega3 SurgiClose$484
- Grafix$150
- Stravix$150
- Affinity$114
- Apligraf$103
- Dermagraft$103
- Puraply/Affinity/NuTech$103
How this compares
$5,150 in reported general payments places this provider in the 55th percentile of 145 foot & ankle surgery providers in Tennessee.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 46 | $631 |
| Ciclopirox | 24 | $472 |
| Clindamycin Hcl | 19 | $178 |
| Gabapentin | 20 | $84 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $65 |
| Methylprednisolone | 13 | $61 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Spring Hill
- Frank OgnibeneMemphis$353K
- Garnett MurphyGermantown$225K
- Sebastien DemoinyMorristown$210K
- Robert ThompsonMurfreesboro$205K
- Bhekumuzi KhumaloUnion City$201K
- Walter ButlerMemphis$191K
- Chad WebsterCordova$185K
- Christian SmithCordova$153K
- Clayton BettinMemphis$89K
- David RichardsonGermantown$61K
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.