David Waters
Foot & Ankle Surgery · Hastings, NENPI 1386932564
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $159,508 of the $213,882 with a category attached, or 74.6%. Paragon 28, Inc. accounts for 95.6% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2021 at $66,503 and has fallen 98.4% since, to $1,035 in 2025. Among foot & ankle surgery clinicians in NE with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 147 payments — averaging $1454.98 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$204K
- Osteomed LLC$8K
- International Life Sciences$425
- Zimmer Biomet$242
- Acumed LLC$222
- Stryker$202
- plus $827 from 18 others
What the payments were for
- Consulting fees$159,50875%
- Speaking & faculty fees$2,5001%
- Grants$25,00012%
- Travel & lodging$20,36410%
- Food & beverage$6,5103%
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 |
|---|---|---|
| Paragon 28, Inc. | 95 | $204,373 |
| Osteomed LLC | 10 | $7,592 |
| International Life Sciences | 2 | $425 |
| Zimmer Biomet | 5 | $242 |
| Acumed LLC | 2 | $222 |
| Stryker | 2 | $202 |
| Smith+Nephew | 6 | $106 |
| Integra Lifesciences Corporation | 3 | $79 |
| Cardiovascular Systems Inc. | 1 | $78 |
| Organogenesis Inc. | 4 | $69 |
| Bone Support Inc. | 1 | $68 |
| In2bones USA, LLC | 1 | $67 |
| Arthrosurface Incorporated | 1 | $55 |
| Johnson & Johnson | 2 | $53 |
| Bioventus LLC | 2 | $38 |
| Misonix Inc | 1 | $38 |
| Convatec Inc. | 2 | $37 |
| Axogen | 1 | $29 |
| Orthofix Medical, Inc. | 1 | $22 |
| Sanara Medtech Inc. | 1 | $22 |
| Conetic Solutions, Inc. | 1 | $21 |
| Esaote North America, Inc. | 1 | $19 |
| Medtronic | 1 | $14 |
| Lifenet Health | 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.
- Product Portfolio$111,292
- EXT-Other$4,879
- EXT-Extremilock Foot$2,500
- EXT-ExtremiLock Ankle$2,500
- BIO-Osteovation (EXT)$2,500
- Portfolio$1,446
- HAV$1,140
- APEX TAR$1,111
- FLEXBAND$425
- MIS LAPIDUS$351
- ACUMED$340
- MONKEY BARS$340
- SILVERBACK$275
- CITREFIX$140
- Nextremity InCore$126
- Foot & Ankle-None$126
- Bactisure$126
- INnate Implant$104
How this compares
$213,882 in reported general payments places this provider in the 95th percentile of 43 foot & ankle surgery providers in Nebraska.
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 |
|---|---|---|
| Cephalexin | 13 | $119 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Hastings
- Evan LenertzHastings$5K
- Marcell BrikhoHastings$4K
- Devin MunkHastings$3K
- Brady WebbHastings$2K
- Eric SoLincoln$94K
- Bradley CoppleOmaha$83K
- Zackary GangwerNorfolk$66K
- Jason BaileyNorfolk$51K
- Joshua VestLincoln$40K
- Robert GreenhagenOmaha$29K
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.