Devon Niewohner
Foot & Ankle Surgery · Winston Salem, NCNPI 1083289474
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (51.1%), food and beverage and education — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Smith+Nephew at 26.7% of the total. 2025 is the largest year on record at $4,882, more than ten times the $128 reported in 2022.
Across 70 payments — averaging $139.72 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$3K
- Orthofix Medical, Inc.$2K
- Medshape, Inc.$900
- Medical Device Business Services, Inc.$898
- Paragon 28, Inc.$858
- Extremity Medical$415
- plus $2K from 13 others
What the payments were for
- Travel & lodging$4,99351%
- Food & beverage$3,89040%
- Education$8989%
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 |
|---|---|---|
| Smith+Nephew | 12 | $2,616 |
| Orthofix Medical, Inc. | 18 | $2,453 |
| Medshape, Inc. | 6 | $900 |
| Medical Device Business Services, Inc. | 4 | $898 |
| Paragon 28, Inc. | 8 | $858 |
| Extremity Medical | 1 | $415 |
| Paratek Pharmaceuticals, Inc. | 4 | $398 |
| Linvatec Corporation | 2 | $286 |
| Johnson & Johnson | 4 | $162 |
| Bone Support Inc. | 1 | $148 |
| Acera Surgical, Inc. | 2 | $138 |
| Treace Medical Concepts, Inc. | 1 | $123 |
| Advanced Oxygen Therapy Inc. | 1 | $98 |
| Organogenesis Inc. | 1 | $95 |
| Biocomposites Inc | 1 | $66 |
| Access Pro Medical, LLC | 1 | $53 |
| Medartis Inc. | 1 | $33 |
| Mid-atlantic Surgical Systems, LLC | 1 | $29 |
| Stryker | 1 | $13 |
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.
- TrueLok$1,989
- Taylor Spatial Frame$1,935
- Oasis$1,236
- DynaNail$789
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$599
- Portfolio$580
- ACTIS$290
- NUZYRA$219
- DynaNail Mini$190
- IBS$159
- Panta 2$149
- SPATIAL FRAME$149
- CERAMENTBONE VOID FILLER$148
- CERAMENT G$148
- MemoFix Super Elastic Nitinol Staple System$136
- Stravix$132
- QUANTUM$126
- TMC PSI CUT GUIDE SYSTEM$123
- APEX 3D$102
How this compares
$9,781 in reported general payments places this provider in the 80th percentile of 196 foot & ankle surgery providers in North Carolina.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ciclopirox | 19 | $564 |
| Ondansetron OdtOndansetron | 45 | $465 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $145 |
| Cephalexin | 16 | $119 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 13 | $70 |
| Ondansetron Hcl | 11 | $68 |
| Oxycodone Hcl | 15 | $53 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Winston Salem
- Robert GoeckerWinston Salem$11K
- John BonvillianWinston Salem$11K
- Timothy VoglerWinston Salem$9K
- Robert OlsonGastonia$473K
- Austin MatthewsLumberton$279K
- Matthew DzurikWilmington$142K
- Kristen McGinnessFayetteville$123K
- William RespessGreenville$79K
- Brian FutrellCary$71K
- Kenneth BloomMooresville$53K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.