Derek Ley, DPM
Foot & Ankle Surgery · Austin, TXNPI 1992157788
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (53.1%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 29 manufacturers, the largest accounting for just 23.9%. Reporting peaked in 2019 at $4,618 and has fallen 51.9% since, to $2,221 in 2025.
Across 177 payments — averaging $93.04 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Paragon 28, Inc.$4K
- Orthofix Medical, Inc.$2K
- Medline Industries LP$1K
- Gemini Mountain Medical, LLC$1K
- Integra Lifesciences Corporation$1K
- plus $3K from 23 others
What the payments were for
- Speaking & faculty fees$1221%
- Travel & lodging$6,36639%
- Food & beverage$8,75253%
- Education$1,2007%
- Gifts$280%
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 |
|---|---|---|
| Stryker | 59 | $3,933 |
| Paragon 28, Inc. | 10 | $3,624 |
| Orthofix Medical, Inc. | 21 | $2,252 |
| Medline Industries LP | 13 | $1,229 |
| Gemini Mountain Medical, LLC | 1 | $1,200 |
| Integra Lifesciences Corporation | 21 | $1,015 |
| In2bones USA, LLC | 4 | $576 |
| Core Surgical Group | 3 | $535 |
| Zimmer Biomet | 6 | $403 |
| Organogenesis Inc. | 8 | $301 |
| Arthrex | 3 | $219 |
| Pylant Medical | 3 | $208 |
| Bone Support Inc. | 2 | $158 |
| KCI USA, Inc. | 1 | $149 |
| Voom Medical Devices, Inc. | 1 | $130 |
| Smith+Nephew | 5 | $119 |
| Acell, Inc. | 1 | $79 |
| 3M Company | 1 | $55 |
| Kerecis Limited | 2 | $41 |
| Johnson & Johnson | 1 | $36 |
| Treace Medical Concepts, Inc. | 2 | $34 |
| Bioventus LLC | 2 | $29 |
| Misonix Inc | 1 | $27 |
| Medinc Of Texas | 1 | $26 |
| Derma Sciences, Inc. | 1 | $24 |
| Anika Therapeutics, Inc. | 1 | $21 |
| Crossroads Extremity Systems, LLC | 1 | $20 |
| Arteriocyte Medical Systems, Inc. | 1 | $13 |
| AbbVie | 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$2,166
- PROstep$1,308
- TL-HEX$1,238
- TrueLok Ring Fixation System$1,106
- Medline Unite Foot Plating System$815
- TrueLok$648
- Quantum Total Ankle$439
- INTEGRA$438
- CITREFIX$251
- ANCHORAGE$214
- STAR$173
- PROPHECY$151
- SNAP$149
- VAC ULTA$149
- VAC VERAFLO CLEANSE CHOICE$149
- PREVENA$149
- VAC VERAFLO$149
- INTEGRA DERMAL REGENERATION TEMPLATE$146
- PRIMATRIX$146
- SCP Bone Substitute$142
How this compares
$16,469 in reported general payments places this provider in the 80th percentile of 684 foot & ankle surgery providers in Texas.
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 |
|---|---|---|
| Diclofenac Sodium | 22 | $9,288 |
| Clotrimazole | 72 | $2,899 |
| Ketoconazole | 95 | $2,152 |
| Mupirocin | 100 | $1,332 |
| Ciclopirox | 30 | $860 |
| Methylprednisolone | 61 | $378 |
| Cefdinir | 19 | $244 |
| Doxycycline Hyclate | 29 | $198 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $109 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Austin
- Mark DaltonAustin$1.9M
- Andrew EbertAustin$82K
- Pedro CosculluelaAustin$69K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
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.