Emily Wagler, DPM
Foot & Ankle Surgery · Federal Way, WANPI 1356899363
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (41.1%), food and beverage and education — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Stryker at 38.0% of the total. Reporting peaked in 2022 at $6,668 and has fallen 91.1% since, to $594 in 2025.
Across 127 payments — averaging $125.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Arthrex$3K
- Steelhead Surgical Inc$1K
- Paragon 28, Inc.$1K
- Orthofix Medical, Inc.$985
- Zimmer Biomet$853
- plus $3K from 11 others
What the payments were for
- Speaking & faculty fees$1251%
- Travel & lodging$6,56541%
- Food & beverage$5,69436%
- Education$3,60023%
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 | 56 | $6,076 |
| Arthrex | 12 | $3,106 |
| Steelhead Surgical Inc | 1 | $1,200 |
| Paragon 28, Inc. | 9 | $1,170 |
| Orthofix Medical, Inc. | 14 | $985 |
| Zimmer Biomet | 9 | $853 |
| Smith+Nephew | 6 | $754 |
| Arteriocyte Medical Systems, Inc. | 6 | $656 |
| Linvatec Corporation | 4 | $441 |
| Flower Orthopedics Coporation | 1 | $157 |
| Organogenesis Inc. | 1 | $125 |
| Anika Therapeutics, Inc. | 1 | $113 |
| Medline Industries LP | 1 | $109 |
| Polynovo North America LLC | 1 | $95 |
| Johnson & Johnson | 2 | $87 |
| Integra Lifesciences Corporation | 2 | $37 |
| Treace Medical Concepts, Inc. | 1 | $18 |
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.
- PROstep$2,666
- SALVATION$780
- Foot & Ankle-None$704
- XT Revision$542
- Salto Talaris$542
- TAR$512
- Magellan$421
- TL-HEX$347
- TrueLok Ring Fixation System$347
- PROPHECY$335
- APEX 3D$239
- VARIAX$235
- BioBrace 23mm$224
- TL-HEX TRUELOK HEXAPOD SYSTEM$157
- ALLOWRAP$153
- Precision MIS Bunion$150
- Grafix PRIME$149
- INFINITY$145
- TrueLok$134
- Apligraf$125
How this compares
$15,983 in reported general payments places this provider in the 85th percentile of 203 foot & ankle surgery providers in Washington.
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 |
|---|---|---|
| Oxycodone Hcl | 24 | $109 |
| Ondansetron Hcl | 13 | $84 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Federal Way
- Craig CliffordFederal Way$44K
- Alissa MayerFederal Way$7K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Richard LamourOlympia$87K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Shawn KhademiRenton$43K
- Gregory GrabowskiBellevue$34K
- Jacob McLeodLongview$34K
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.