Dustin Kruse
Foot & Ankle Surgery · Wheat Ridge, CONPI 1548433469
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $197,370 of the $216,685 with a category attached, or 91.1%. Vaporox, Inc. accounts for 71.0% of it on its own, with 16 other manufacturers making up the rest. Among foot & ankle surgery clinicians in CO 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 137 payments — averaging $1581.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vaporox, Inc.$154K
- Paragon 28, Inc.$62K
- Stryker$330
- Celularity Inc.$122
- Johnson & Johnson$109
- Medline Industries LP$88
- plus $435 from 11 others
Across 16 payments — averaging $2006.25 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Vaporox, Inc.$32K
What the payments were for
- Consulting fees$197,37091%
- Travel & lodging$2,6281%
- Food & beverage$3,9262%
- Education$2800%
- Gifts$1000%
- Entertainment$7040%
- Ownership interest$11,6785%
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 |
|---|---|---|
| Vaporox, Inc. | 82 | $153,859 |
| Paragon 28, Inc. | 32 | $61,742 |
| Stryker(2 entities) | 4 | $330 |
| Celularity Inc. | 1 | $122 |
| Johnson & Johnson | 2 | $109 |
| Medline Industries LP | 1 | $88 |
| Mimedx Group, Inc. | 4 | $86 |
| Ortho Solutions Inc | 1 | $73 |
| Triad Life Sciences Inc. | 1 | $56 |
| Exactech, Inc. | 1 | $49 |
| Integra Lifesciences Corporation | 2 | $45 |
| Heron Therapeutics, Inc. | 1 | $24 |
| Smith+Nephew | 1 | $24 |
| Organogenesis Inc. | 1 | $23 |
| Pacira Pharmaceuticals Incorporated | 1 | $20 |
| Extremity Medical | 1 | $20 |
| Orthofix Medical, 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.
- VHT-200 Wound Treatment System$48,140
- VHT-200$24,000
- Portfolio$21,838
- Product Portfolio$18,315
- ALPHAVENT$188
- SILVERBACK$127
- Biovance$122
- Precision MIS Bunion$120
- ICONIX$104
- PROMO$101
How this compares
$216,685 in reported general payments places this provider in the 95th percentile of 181 foot & ankle surgery providers in Colorado.
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 | 16 | $173 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 14 | $165 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $128 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Wheat Ridge
- Brett SachsWheat Ridge$806K
- Raquel LitherlandWheat Ridge$11K
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
- Brad DresherColorado Springs$1.3M
- Thomas ClantonVail$1.1M
- Jeffrey LehrmanFort Collins$628K
- Kevin NagamaniDenver$288K
- Keith JacobsonDenver$241K
- William MontrossColorado Springs$238K
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.