Douglas Toole
Foot & Ankle Surgery · Salt Lake City, UTNPI 1740543834
Payments from drug & device makers
What this record shows
This record is dominated by other: $251,372 of the $258,389 with a category attached, or 97.3%. Convatec Inc. accounts for 97.3% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2024 at $251,372 and has fallen 100.0% since, to $50 in 2025. Among foot & ankle surgery clinicians in UT 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 18 payments — averaging $14,355 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Convatec Inc.$251K
- Flower Orthopedics Coporation$6K
- Shire North American Group Inc$107
- Kerecis Limited$91
- Imbed Biosciences Inc.$81
- Medtronic$81
- plus $171 from 5 others
What the payments were for
- Consulting fees$6,3002%
- Food & beverage$7170%
- Other$251,37297%
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. | 5 | $251,372 |
| Flower Orthopedics Coporation | 3 | $6,487 |
| Shire North American Group Inc | 1 | $107 |
| Kerecis Limited | 1 | $91 |
| Imbed Biosciences Inc. | 1 | $81 |
| Medtronic | 1 | $81 |
| Abbott | 1 | $55 |
| Amgen(2 entities) | 2 | $49 |
| Solventum Corporation | 1 | $31 |
| Crossroads Extremity Systems, LLC | 1 | $23 |
| Tactile Systems Technology Inc | 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.
- InnovaMatrix AC$251,372
- GAMMAGARD$107
How this compares
$258,389 in reported general payments places this provider in the 95th percentile of 104 foot & ankle surgery providers in Utah.
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.
Other foot & ankle surgery in Salt Lake City
- Gregory AndersonSalt Lake City$1.6M
- Florian NickischSalt Lake City$474K
- Brian LiljenquistSalt Lake City$263K
- David SeegmillerSalt Lake City$120K
- Grant SunSalt Lake City$11K
- Amanda KhourySalt Lake City$10K
- Callie MorlockSalt Lake City$9K
- Jordan ButterfieldSalt Lake City$7K
- Daniel PreeceSalt Lake City$7K
- Christopher FunkSalt Lake City$6K
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.