RxDoctor Payments Data

David Richardson, MD

Foot and Ankle Surgery · Germantown, TNNPI 1912994450

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $55,768 of the $60,592 with a category attached, or 92.0%. Extremity Medical accounts for 92.0% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $11,664 and has fallen 55.0% since, to $5,245 in 2025. Among foot and ankle surgery clinicians in TN 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.

$60,592in general payments, 2019–2025

Across 55 payments — averaging $1101.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Extremity Medical$56K
  • Gentleman Orthopedic Solutions$4K
  • Stryker$359
  • Johnson & Johnson$192
  • Treace Medical Concepts, Inc.$176
  • Crossroads Extremity Systems, LLC$169
  • plus $255 from 5 others

What the payments were for

  • Royalty or licence$55,76892%
  • Travel & lodging$8031%
  • Food & beverage$1,4352%
  • Education$2,5864%

General payments by program year

19
20
21
22
23
24
25

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.

How this compares

$60,592 in reported general payments places this provider in the 90th percentile of 145 foot and ankle surgery providers in Tennessee.

See all foot and ankle surgery providers in Tennessee

Medicare billing

Part B allowed, 2024
$278,756
Medicare patients
961
Services billed
7,592

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

DrugClaimsCost to plans & patients
Meloxicam273$663
Gabapentin141$597
Tramadol Hcl210$502
Cephalexin23$441
Pregabalin32$431
Methylprednisolone54$319
Oxycodone Hcl55$294
Promethazine Hcl42$216
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen27$203
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim19$66

Paid to pharmacies, not to this prescriber.

Other foot and ankle surgery in Germantown

See the full list for Tennessee

Where these figures come from

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