Gregory Rouw
Foot & Ankle Surgery · Saint Cloud, MNNPI 1508847633
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (42.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 12 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 41.2% of the total. Reporting peaked in 2022 at $4,343 and has fallen 91.2% since, to $382 in 2024.
Across 49 payments — averaging $175.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$4K
- Arthrex$3K
- Foundation Medical, LLC$1K
- Stryker$411
- Kerecis Limited$249
- Gemini Medical LLC$121
- plus $230 from 6 others
What the payments were for
- Travel & lodging$3,34039%
- Food & beverage$1,58118%
- Education$3,68843%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 15 | $3,550 |
| Arthrex | 8 | $2,834 |
| Foundation Medical, LLC | 2 | $1,215 |
| Stryker | 8 | $411 |
| Kerecis Limited | 3 | $249 |
| Gemini Medical LLC | 3 | $121 |
| Rikco International, LLC | 2 | $88 |
| Paragon 28, Inc. | 2 | $41 |
| Organogenesis Inc. | 2 | $38 |
| Smith+Nephew | 2 | $32 |
| Melinta Therapeutics, LLC | 1 | $18 |
| KCI USA, 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.
How this compares
$8,609 in reported general payments places this provider in the 75th percentile of 102 foot & ankle surgery providers in Minnesota.
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 |
|---|---|---|
| Terbinafine Hcl | 11 | $186 |
| Gabapentin | 18 | $113 |
| Cephalexin | 17 | $103 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $73 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Saint Cloud
- David PatenaudeSaint Cloud$7K
- Karenthea RouwSaint Cloud$6K
- Ashton NelsenSaint Cloud$3K
- Johannes CoetzeeEdina$4.7M
- Troy BoffeliSaint Paul$1.7M
- Jeffrey SeyboldEdina$270K
- Kyle AbbenSt Louis Park$130K
- Collin MesserlySaint Paul$50K
- Ryan ReinkingDuluth$48K
- Kevin MahoneyMarshall$39K
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.