Gregory Guyton, MD
Foot and Ankle Surgery · Baltimore, MDNPI 1386688570
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $193,296 of the $215,560 with a category attached, or 89.7%. Paragon 28, Inc. accounts for 88.3% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2021 at $49,002 and has fallen 80.9% since, to $9,337 in 2025. Among foot and ankle surgery clinicians in MD 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 373 payments — averaging $577.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$190K
- Exactech, Inc.$17K
- Johnson & Johnson$4K
- Arthrex$2K
- Advita Ortho, LLC$875
- Stryker$622
- plus $38 from 2 others
Across 3 payments — averaging $489.45 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.
- Paragon 28, Inc.$985
- Stryker$483
What the payments were for
- Royalty or licence$2,7661%
- Consulting fees$193,29690%
- Travel & lodging$15,3197%
- Food & beverage$4,1792%
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 |
|---|---|---|
| Paragon 28, Inc. | 309 | $190,331 |
| Exactech, Inc. | 21 | $17,335 |
| Johnson & Johnson(2 entities) | 2 | $4,118 |
| Arthrex | 25 | $2,240 |
| Advita Ortho, LLC | 1 | $875 |
| Stryker(2 entities) | 13 | $622 |
| Zimmer Biomet | 1 | $20 |
| Supreme Orthopedic Systems, LLC | 1 | $19 |
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.
How this compares
$215,560 in reported general payments places this provider in the 95th percentile of 182 foot and ankle surgery providers in Maryland.
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 and ankle surgery in Baltimore
- Lew SchonBaltimore$752K
- Stuart MillerBaltimore$583K
- Patrick MaloneyBaltimore$262K
- Clifford JengBaltimore$74K
- Kyung SeoBaltimore$23K
- Richard SmithBaltimore$18K
- Jacob WisbeckBaltimore$17K
- Stephen JacobsenBaltimore$17K
- Brady WilliamsBaltimore$17K
- Walter HembreeBaltimore$16K
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.