Ian Barron, DPM
Foot & Ankle Surgery · San Antonio, TXNPI 1124448535
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (57.7%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. Kerecis Limited accounts for 89.1% of it on its own, with 38 other manufacturers making up the rest. Among foot & ankle surgery clinicians in TX 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 241 payments — averaging $672.53 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Kerecis Limited$144K
- CDC Medical LLC$3K
- Stryker$3K
- Vilex LLC$3K
- Smith+Nephew$2K
- Arthrex$2K
- plus $5K from 33 others
What the payments were for
- Consulting fees$21,29213%
- Speaking & faculty fees$93,54158%
- Travel & lodging$28,21717%
- Food & beverage$14,3609%
- Education$4,6703%
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 | 75 | $144,395 |
| CDC Medical LLC | 11 | $3,195 |
| Stryker | 35 | $3,114 |
| Vilex LLC | 11 | $2,870 |
| Smith+Nephew | 30 | $1,964 |
| Arthrex | 5 | $1,568 |
| Paragon 28, Inc. | 4 | $1,208 |
| Orthofix Medical, Inc. | 9 | $600 |
| Endologix LLC | 2 | $284 |
| Access Pro Medical, LLC | 3 | $281 |
| Tactile Systems Technology Inc | 5 | $222 |
| Angiodynamics, Inc. | 2 | $219 |
| Averitas Pharma Inc. | 4 | $202 |
| Surgenex LLC | 1 | $175 |
| Vertex | 2 | $153 |
| Johnson & Johnson | 1 | $147 |
| Alafair Biosciences, Inc. | 1 | $142 |
| Nevro Corp. | 5 | $140 |
| Flower Orthopedics Coporation | 1 | $138 |
| Medline Industries LP | 1 | $129 |
| Paratek Pharmaceuticals, Inc. | 7 | $128 |
| Amgen | 2 | $127 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $125 |
| Treace Medical Concepts, Inc. | 2 | $94 |
| Extremity Medical | 1 | $87 |
| Inari Medical, Inc. | 2 | $54 |
| Kowa Pharmaceuticals America, Inc. | 3 | $53 |
| Nextremity Solutions Inc. | 1 | $40 |
| Nabriva Therapeutics, PLC | 2 | $36 |
| Arthrosurface Incorporated | 1 | $36 |
| KCI USA, Inc. | 1 | $26 |
| Acera Surgical, Inc. | 1 | $20 |
| Reprise Biomedical, Inc. | 3 | $20 |
| Amniox Medical, Inc. | 1 | $18 |
| Mimedx Group, Inc. | 1 | $17 |
| Convatec Inc. | 1 | $15 |
| Cashflow Solutions, LLC | 1 | $14 |
| Mission Medical Distribution, LLC | 1 | $14 |
| Stimwave Technologies Incorporated | 1 | $10 |
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 Omega3 SurgiClose$191,355
- Kerecis Omega3 Marigen$168,673
- Kerecis SurgiClose$129,140
- Kerecis Omega3 GraftGuide$87,275
- Kerecis GraftGuide$32,285
- Kerecis Omega3 Wound$31,707
- Kerecis Omega3 Surgibind$23,474
- HINTERMANN$2,464
- Taylor Spatial Frame$1,323
- HOFFMANN$1,189
- Product Portfolio$1,097
- VARIAX$393
- RAYOS$331
- Alto Abdominal Stent Graft System$284
- ANKLE HINDFOOT NAILING SYSTEM$256
- Matriderm$255
- EVOS$241
- Auryon Laser System 100-120 Vac$219
- SurGraft$175
- SurMatrix$175
How this compares
$162,080 in reported general payments places this provider in the 95th percentile of 684 foot & ankle surgery providers in Texas.
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 |
|---|---|---|
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 56 | $1,276 |
| Ammonium Lactate | 23 | $514 |
| Ciclopirox | 12 | $373 |
| Ketoconazole | 11 | $274 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in San Antonio
- Walter StrashSan Antonio$86K
- Thomas ZgonisSan Antonio$79K
- Collin PehdeSan Antonio$49K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
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.