David Velarde, DPM
Foot Surgery · Knoxville, TNNPI 1134161979
Payments from drug & device makers
What this record shows
The money is spread across several categories — other (40.5%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Convatec Inc. at 38.2% of the total. Reporting peaked in 2024 at $5,358 and has fallen 83.8% since, to $868 in 2025. Among foot 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.
Across 69 payments — averaging $162.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Convatec Inc.$4K
- Triad Life Sciences Inc.$4K
- Acumed LLC$848
- Integra Lifesciences Corporation$639
- Medtronic$506
- Paratek Pharmaceuticals, Inc.$234
- plus $882 from 12 others
What the payments were for
- Travel & lodging$3,90235%
- Food & beverage$2,79325%
- Other$4,55140%
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 |
|---|---|---|
| Convatec Inc. | 13 | $4,300 |
| Triad Life Sciences Inc. | 9 | $3,836 |
| Acumed LLC | 5 | $848 |
| Integra Lifesciences Corporation | 6 | $639 |
| Medtronic(2 entities) | 10 | $506 |
| Paratek Pharmaceuticals, Inc. | 9 | $234 |
| Nevro Corp. | 4 | $159 |
| Smith+Nephew | 2 | $156 |
| W. L. Gore & Associates, Inc. | 1 | $152 |
| Organogenesis Inc. | 2 | $139 |
| Silk Road Medical, Inc. | 1 | $98 |
| Inari Medical, Inc. | 1 | $81 |
| Ossio Inc | 1 | $22 |
| Advanced Oxygen Therapy Inc. | 1 | $20 |
| Amgen | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $14 |
| KCI USA, Inc. | 1 | $14 |
| Nabriva Therapeutics, PLC | 1 | $12 |
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.
- InnovaMatrix AC$7,656
- OsteoMed$1,404
- ACUMED$702
- INTEGRA$306
- ENDURANT IIS$284
- ACell$245
- EXCLUDER Conformable AAA Endoprosthesis with Active Control$152
- Affinity$122
- Grafix$118
- Oasis$118
- Stravix$118
- NUZYRA$109
How this compares
$11,245 in reported general payments places this provider in the 90th percentile of 23 foot 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 |
|---|---|---|
| Lidocaine-PrilocaineLidocaine/Prilocaine | 12 | $2,522 |
| Linezolid | 20 | $2,092 |
| Cephalexin | 28 | $109 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $42 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Knoxville
- Carol AkermanKnoxville$6K
- Christopher JuelsCookeville$208K
- Joseph CreazzoMorristown$12K
- David FranklinAlcoa$8K
- Mark WrightMurfreesboro$5K
- James EngblomOak Ridge$2K
- David MoinesterMemphis$2K
- Brian ShwerMemphis$2K
- Brian ChristiansenOak Ridge$2K
- Ignis RetiefNashville$2K
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.