Jacob Wynes, DPM
Foot Surgery · Baltimore, MDNPI 1083840524
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $128,522 of the $213,505 with a category attached, or 60.2%. 37 manufacturers reported payments, led by Paragon 28, Inc. at 58.3% of the total. Among foot 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 379 payments — averaging $563.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$125K
- Smith+Nephew$33K
- Orthofix Medical, Inc.$23K
- Synthes GmbH$5K
- Synthes USA Products LLC$5K
- Amniox Medical, Inc.$4K
- plus $20K from 31 others
Across 1 payment — averaging $20,000 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.
- Medline Industries LP$20K
What the payments were for
- Consulting fees$128,52260%
- Speaking & faculty fees$23,22811%
- Travel & lodging$43,69420%
- Food & beverage$14,4357%
- Education$3,6272%
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. | 103 | $124,533 |
| Smith+Nephew | 67 | $32,693 |
| Orthofix Medical, Inc. | 42 | $22,784 |
| Synthes GmbH | 8 | $4,785 |
| Synthes USA Products LLC | 4 | $4,700 |
| Amniox Medical, Inc. | 5 | $4,003 |
| Supreme Orthopedic Systems, LLC | 11 | $3,990 |
| Polynovo North America LLC | 3 | $3,516 |
| Stryker | 36 | $3,148 |
| Arthrex | 27 | $3,055 |
| Biotissue Holdings Inc. | 3 | $2,569 |
| Mimedx Group, Inc. | 25 | $850 |
| Sanara Medtech Inc. | 3 | $401 |
| Musculoskeletal Transplant Foundation Inc. | 5 | $372 |
| Kerecis Limited | 4 | $250 |
| Urgo Medical North America, LLC | 2 | $215 |
| Biocomposites Inc | 3 | $169 |
| Nuvasive Specialized Orthopedics, Inc. | 1 | $164 |
| Organogenesis Inc. | 3 | $156 |
| Nuo Therapeutics | 1 | $132 |
| Access Pro Medical, LLC | 1 | $114 |
| Globus Medical | 3 | $112 |
| Abbott | 1 | $110 |
| Johnson & Johnson | 2 | $94 |
| Bone Support Inc. | 1 | $90 |
| Aroa Biosurgery Incorporated | 3 | $89 |
| Bsn Medical Inc | 2 | $80 |
| Trilliant Surgical LLC. | 1 | $61 |
| Progenacare Global, LLC | 1 | $54 |
| Cook Medical LLC | 1 | $51 |
| Terumo Medical Corporation | 1 | $46 |
| Hydrofera LLC | 1 | $45 |
| Biopro, Inc. | 1 | $22 |
| Baxter Healthcare | 1 | $16 |
| Tactile Systems Technology Inc | 1 | $16 |
| Integra Lifesciences Corporation | 1 | $14 |
| Lifenet Health | 1 | $6 |
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.
- Portfolio$99,915
- Taylor Spatial Frame$16,941
- Product Portfolio$15,981
- SMART TSF$12,008
- TrueLok Ring Fixation System$8,751
- TL-HEX$8,644
- JUNIORTHO PLATING SYSTEM$7,747
- Small DAF$7,077
- MONKEY RINGS$6,941
- XCaliber Articulated Ankle Fixator$6,686
- Ilizarov System$6,298
- Veronail Titanium Trochanteric Nail$5,360
- NEOX$5,100
- CLARIX$5,100
- Novosorb BTM$3,516
- SPATIAL FRAME$3,240
- Pertrochanteric Fixator$2,931
- Retronail - Ankle Arthrodesis$2,178
- Sheffield Ring Fixator$2,178
- Stainless Steel Antegrade Nails$2,178
How this compares
$213,505 in reported general payments places this provider in the 95th percentile of 28 foot 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Enoxaparin Sodium | 16 | $2,594 |
| Doxycycline Monohydrate | 25 | $298 |
| Doxycycline Hyclate | 18 | $197 |
| Oxycodone Hcl | 37 | $175 |
Paid to pharmacies, not to this prescriber.
Other foot surgery in Baltimore
- Kiana TrentBaltimore$8K
- Ronald ShermanBaltimore$7K
- Alan KleimanBaltimore$105
- Herman ZarateTakoma Park$57K
- Vesta McDowellBowie$39K
- Aaron LewisLandover$3K
- Johny MotranHyattsville$3K
- Neil OhoraOlney$2K
- Mitchell BarberLaurel$1K
- Mark LevyRockville$1K
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.