David Shain, DPM
Foot & Ankle Surgery · Littleton, CONPI 1447719505
Payments from drug & device makers
What this record shows
This record is dominated by education: $7,200 of the $10,328 with a category attached, or 69.7%. 19 manufacturers reported payments, led by Pinnacle, Inc at 35.1% of the total. Reporting peaked in 2022 at $5,895 and has fallen 97.8% since, to $127 in 2025.
Across 58 payments — averaging $178.08 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$4K
- Gemini Mountain Medical, LLC$3K
- Arthrex$1K
- Smith+Nephew$536
- Medical Device Business Services, Inc.$343
- Stryker$329
- plus $1K from 13 others
What the payments were for
- Travel & lodging$6586%
- Food & beverage$2,47024%
- Education$7,20070%
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 |
|---|---|---|
| Pinnacle, Inc | 6 | $3,629 |
| Gemini Mountain Medical, LLC | 6 | $2,834 |
| Arthrex | 5 | $1,478 |
| Smith+Nephew | 5 | $536 |
| Medical Device Business Services, Inc. | 7 | $343 |
| Stryker | 7 | $329 |
| Paragon 28, Inc. | 5 | $292 |
| Paratek Pharmaceuticals, Inc. | 4 | $137 |
| Angiodynamics, Inc. | 1 | $127 |
| Pacira Pharmaceuticals Incorporated | 1 | $121 |
| Organogenesis Inc. | 1 | $118 |
| Amniox Medical, Inc. | 1 | $92 |
| Misonix Inc | 1 | $78 |
| BD | 1 | $58 |
| Johnson & Johnson | 3 | $52 |
| Kerecis Limited | 1 | $41 |
| Amgen | 1 | $28 |
| Convatec Inc. | 1 | $20 |
| Innovation Technologies Inc | 1 | $15 |
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.
- Stravix$262
- PROstep$136
- GRAFIX PL$130
- Auryon Laser System 100-120 Vac$127
- Precision MIS Bunion$123
- EVOS$122
- EXPAREL$121
- RENASYS GO$119
- PuraPly$118
- NUZYRA$108
How this compares
$10,328 in reported general payments places this provider in the 75th percentile of 181 foot & ankle surgery providers in Colorado.
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.
Other foot & ankle surgery in Littleton
- Katherine KloberdanzLittleton$12K
- Thomas EhlersLittleton$8K
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
- Brad DresherColorado Springs$1.3M
- Thomas ClantonVail$1.1M
- Brett SachsWheat Ridge$806K
- Jeffrey LehrmanFort Collins$628K
- Kevin NagamaniDenver$288K
- Keith JacobsonDenver$241K
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.