Gregory Sheremeta, DPM
Foot & Ankle Surgery · Troy, MINPI 1437786019
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (36.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Kerecis Limited accounts for 62.1% of it on its own, with 33 other manufacturers making up the rest. 2025 is the largest year on record at $57,324, more than ten times the $165 reported in 2021. Among foot & ankle surgery clinicians in MI 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 417 payments — averaging $209.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kerecis Limited$54K
- Stryker$7K
- Progenacare Global, LLC$4K
- Pinnacle, Inc$3K
- Convatec Inc.$3K
- Medical Device Business Services, Inc.$3K
- plus $13K from 28 others
What the payments were for
- Consulting fees$3,4054%
- Speaking & faculty fees$31,40036%
- Travel & lodging$27,33031%
- Food & beverage$22,35326%
- Education$2,7553%
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 |
|---|---|---|
| Kerecis Limited | 106 | $54,218 |
| Stryker | 54 | $7,452 |
| Progenacare Global, LLC | 26 | $4,122 |
| Pinnacle, Inc | 31 | $3,255 |
| Convatec Inc. | 16 | $2,692 |
| Medical Device Business Services, Inc. | 13 | $2,511 |
| Paragon 28, Inc. | 17 | $2,203 |
| Smith+Nephew | 18 | $1,888 |
| Integra Lifesciences Corporation | 21 | $1,597 |
| Johnson & Johnson | 21 | $1,430 |
| Treace Medical Concepts, Inc. | 23 | $1,361 |
| Acumed LLC | 7 | $870 |
| Arthrex | 7 | $790 |
| Organogenesis Inc. | 9 | $593 |
| Aroa Biosurgery Incorporated | 10 | $498 |
| Davol Inc. | 4 | $241 |
| Nevro Corp. | 5 | $235 |
| Orthofix Medical, Inc. | 1 | $180 |
| Solventum Corporation | 2 | $147 |
| ANI Pharmaceuticals, Inc. | 6 | $142 |
| Osteomed LLC | 3 | $142 |
| Amgen | 2 | $131 |
| Zak Ortho | 1 | $125 |
| Surgenex LLC | 1 | $70 |
| Trilliant Surgical LLC. | 1 | $65 |
| Abbott | 1 | $56 |
| Paratek Pharmaceuticals, Inc. | 3 | $52 |
| KCI USA, Inc. | 2 | $37 |
| Mimedx Group, Inc. | 1 | $33 |
| Globus Medical | 1 | $29 |
| AbbVie | 1 | $28 |
| Urgo Medical North America, LLC | 1 | $18 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
| Zimmer Biomet | 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.
- Kerecis SurgiClose$201,334
- Kerecis GraftGuide$50,334
- Kerecis Omega3 Marigen$10,508
- Kerecis Omega3 SurgiClose$3,557
- INTEGRA$3,234
- PROstep$2,223
- InnovaMatrix AC$2,161
- Portfolio$1,897
- ACUMED$1,873
- Cadence$1,330
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$1,330
- MOTOBAND$1,280
- Kerecis Omega3 GraftGuide$1,128
- INTEGRA DERMAL REGENERATION TEMPLATE$1,078
- PRIMATRIX$1,078
- INBONE$1,010
- HOFFMANN$969
- INFINITY$906
- ORTHOLOC 3DI$817
- Panta 2$806
How this compares
$87,242 in reported general payments places this provider in the 95th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Fluconazole | 22 | $361 |
| Doxycycline Hyclate | 33 | $338 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 23 | $162 |
| Ketoconazole | 11 | $121 |
| Meloxicam | 42 | $88 |
| Methylprednisolone | 18 | $62 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Troy
- Tad SprungerTroy$16K
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$854K
- Karl DunnClinton Twp$434K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- John MaskillGrand Rapids$202K
- Michael SwordsLansing$189K
- Jason WesloskyClinton Township$87K
- Hatim BurhaniGrosse Pointe Woods$77K
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.