Garrett Wireman, DPM
Foot & Ankle Surgery · Louisville, KYNPI 1982061180
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (48.5%), travel and lodging and education — rather than concentrated in one kind of arrangement. 41 manufacturers reported payments, led by Stryker at 32.0% of the total. Among foot & ankle surgery clinicians in KY with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 251 payments — averaging $102.84 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$8K
- Smith+Nephew$3K
- Alpha Orthopedic Systems$2K
- Orthofix Medical, Inc.$2K
- Medical Device Business Services, Inc.$2K
- Medshape, Inc.$1K
- plus $7K from 35 others
What the payments were for
- Grants$5052%
- Travel & lodging$10,09239%
- Food & beverage$12,51748%
- Education$2,70010%
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 | 100 | $8,257 |
| Smith+Nephew | 38 | $2,700 |
| Alpha Orthopedic Systems | 6 | $2,454 |
| Orthofix Medical, Inc. | 17 | $1,943 |
| Medical Device Business Services, Inc. | 8 | $1,662 |
| Medshape, Inc. | 5 | $1,484 |
| Paragon 28, Inc. | 8 | $1,163 |
| Vilex LLC | 3 | $733 |
| Johnson & Johnson | 5 | $487 |
| Polynovo North America LLC | 5 | $420 |
| Bone Support Inc. | 3 | $324 |
| Integra Lifesciences Corporation | 4 | $291 |
| Medtronic | 2 | $281 |
| Bioventus LLC | 7 | $280 |
| Amgen | 2 | $247 |
| Kerecis Limited | 3 | $245 |
| Sanara Medtech Inc. | 2 | $221 |
| Acera Surgical, Inc. | 3 | $198 |
| Abbott | 2 | $192 |
| Treace Medical Concepts, Inc. | 3 | $185 |
| Restor3d, Inc. | 1 | $177 |
| Avita Medical Americas, LLC | 2 | $159 |
| Nevro Corp. | 2 | $158 |
| Axogen | 1 | $149 |
| Biotissue Holdings Inc. | 1 | $138 |
| Angiodynamics, Inc. | 1 | $129 |
| Acumed LLC | 1 | $129 |
| AbbVie | 2 | $127 |
| Lifenet Health | 1 | $125 |
| Advita Ortho, LLC | 1 | $121 |
| Convatec Inc. | 1 | $119 |
| Exactech, Inc. | 1 | $100 |
| Baxter Healthcare | 1 | $90 |
| Globus Medical | 2 | $82 |
| Trilliant Surgical LLC. | 1 | $77 |
| Arthrex | 1 | $74 |
| KCI USA, Inc. | 1 | $26 |
| Invictus Surgical Incorporated | 1 | $21 |
| Paratek Pharmaceuticals, Inc. | 1 | $18 |
| Merck | 1 | $14 |
| Melinta Therapeutics, LLC | 1 | $14 |
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$1,903
- ORTHOLOC 3DI$1,860
- Cadence$1,458
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$1,458
- Integra XT$1,458
- DynaNail$1,118
- Portfolio$1,013
- INBONE$823
- INTEGRA$776
- Kerecis Omega3 Marigen$767
- REDEMPTION$620
- KVAC$467
- HOFFMANN$439
- ACUMED$387
- NA$292
- CERAMENTBONE VOID FILLER$288
- CERAMENT G$288
- INTELLIS ADAPTIVESTIM$281
- INTEGRA DERMAL REGENERATION TEMPLATE$259
- PRIMATRIX$259
How this compares
$25,814 in reported general payments places this provider in the 90th percentile of 141 foot & ankle surgery providers in Kentucky.
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 Louisville
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Jonathan TowarnickiLouisville$22K
- Zachary OgdenLouisville$22K
- Eric GustafsonLouisville$20K
- Nicholas VogelsangLouisville$18K
- Jordan VogtLouisville$12K
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.