Douglas Holder, DPM
Foot & Ankle Surgery · Clarksville, TNNPI 1932738978
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $7,921 of the $12,171 with a category attached, or 65.1%. 32 manufacturers reported payments, led by Stryker at 33.3% of the total. Reporting peaked in 2021 at $4,481 and has fallen 86.9% since, to $589 in 2025.
Across 164 payments — averaging $74.22 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Legacy Ortho LLC$4K
- Medical Device Business Services, Inc.$830
- Ossio Inc$574
- Organogenesis Inc.$329
- Imperative Care, Inc$290
- plus $3K from 26 others
What the payments were for
- Travel & lodging$6515%
- Food & beverage$7,92165%
- Education$3,60030%
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(2 entities) | 79 | $4,047 |
| Legacy Ortho LLC | 3 | $3,600 |
| Medical Device Business Services, Inc. | 7 | $830 |
| Ossio Inc | 1 | $574 |
| Organogenesis Inc. | 9 | $329 |
| Imperative Care, Inc | 2 | $290 |
| Treace Medical Concepts, Inc. | 7 | $278 |
| Smith+Nephew | 6 | $246 |
| Paratek Pharmaceuticals, Inc. | 11 | $213 |
| Convatec Inc. | 3 | $204 |
| Johnson & Johnson(2 entities) | 5 | $203 |
| Amgen(2 entities) | 3 | $163 |
| Bioventus LLC | 2 | $137 |
| Truvic Medical, Inc. | 1 | $133 |
| Orthofix Medical, Inc. | 2 | $129 |
| Heron Therapeutics, Inc. | 1 | $128 |
| Angiodynamics, Inc. | 1 | $125 |
| Medtronic | 2 | $100 |
| ANI Pharmaceuticals, Inc. | 3 | $86 |
| Cordis US CORP. | 1 | $64 |
| Paragon 28, Inc. | 3 | $60 |
| IBSA Pharma Inc. | 2 | $34 |
| Kerecis Limited | 1 | $25 |
| Abbott | 1 | $23 |
| AbbVie | 1 | $22 |
| Lifenet Health | 1 | $22 |
| Arteriocyte Medical Systems, Inc. | 1 | $21 |
| Solventum Corporation | 1 | $18 |
| KCI USA, Inc. | 1 | $18 |
| Mimedx Group, Inc. | 1 | $17 |
| Pfizer | 1 | $17 |
| Collegium Pharmaceutical, 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.
- ORTHOLOC 2 LAPIFUSE$576
- AUGMENT INJECTABLE$555
- VARIAX$425
- PRODIGY CATHETER$290
- ORTHOLOC 3DI CROSSCHECK$174
- InnovaMatrix AC$170
- SALVATION$167
- PROstep$163
- GRAFIX PL$144
- Stravix$144
- PROPHECY$141
- Lapiplasty System$139
- MOTOBAND$135
- MOTOBAND CP$135
- MINIBUNION$135
- DYNAFORCE$135
- Zynrelef$128
- Auryon Laser System 100-120 Vac$125
- KRYSTEXXA$125
- Other$120
How this compares
$12,171 in reported general payments places this provider in the 80th percentile of 145 foot & ankle 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 |
|---|---|---|
| JubliaEfinaconazole | 17 | $12,545 |
| Ciclopirox | 51 | $1,492 |
| Mupirocin | 67 | $787 |
| Doxycycline Hyclate | 56 | $558 |
| Ketoconazole | 14 | $429 |
| Gabapentin | 68 | $284 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $267 |
| Terbinafine Hcl | 16 | $225 |
| Methylprednisolone | 12 | $125 |
| Clindamycin Hcl | 13 | $89 |
| Ciprofloxacin Hcl | 13 | $88 |
| Meloxicam | 32 | $81 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Clarksville
- Tori BreitenbachClarksville$9K
- Sebastien DemoinyMorristown$210K
- Robert ThompsonMurfreesboro$205K
- Bhekumuzi KhumaloUnion City$201K
- Walter ButlerMemphis$191K
- Chad WebsterCordova$185K
- Christian SmithCordova$153K
- Frank OgnibeneMemphis$148K
- Garnett MurphyGermantown$130K
- Clayton BettinMemphis$89K
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.