James Averett, DPM
Foot & Ankle Surgery · Las Vegas, NVNPI 1598016255
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $868 of the $1,290 with a category attached, or 67.3%. 15 manufacturers reported payments, led by Integra Lifesciences Corporation at 34.6% of the total. 2025 is the largest year on record at $616, 2.4 times the $252 reported in 2019. That places this record below the midpoint for foot & ankle surgery clinicians in NV, where the typical reported total is $3,921.
Across 49 payments — averaging $26.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Integra Lifesciences Corporation$447
- Smith+Nephew$268
- Kerecis Limited$232
- Organogenesis Inc.$64
- Abbott$50
- Goode Surgical Inc$45
- plus $184 from 9 others
What the payments were for
- Food & beverage$86867%
- Other$42233%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Integra Lifesciences Corporation | 4 | $447 |
| Smith+Nephew | 16 | $268 |
| Kerecis Limited | 6 | $232 |
| Organogenesis Inc. | 6 | $64 |
| Abbott | 3 | $50 |
| Goode Surgical Inc | 3 | $45 |
| Acera Surgical, Inc. | 2 | $36 |
| Lifenet Health | 2 | $34 |
| Johnson & Johnson | 1 | $22 |
| Melinta Therapeutics, LLC | 1 | $19 |
| Merck | 1 | $16 |
| Nevro Corp. | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| KCI USA, Inc. | 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$483
- INTEGRA$307
- Kerecis GraftGuide$121
- CYTAL$115
How this compares
$1,290 in reported general payments places this provider in the 30th percentile of 84 foot & ankle surgery providers in Nevada.
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 | 89 | $1,330 |
| Ketoconazole | 41 | $940 |
| Cephalexin | 64 | $488 |
| Triamcinolone Acetonide | 24 | $436 |
| SsdSilver Sulfadiazine | 23 | $377 |
| Naproxen | 45 | $368 |
| Methylprednisolone | 43 | $297 |
| Doxycycline Monohydrate | 16 | $286 |
| Gabapentin | 22 | $226 |
| Meloxicam | 92 | $206 |
| Ibuprofen | 21 | $190 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 25 | $188 |
| Silver Sulfadiazine | 16 | $183 |
| Allopurinol | 13 | $113 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $103 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Las Vegas
- Troy WatsonLas Vegas$1.2M
- Ira WeinerLas Vegas$135K
- Abdolreza RaissiLas Vegas$110K
- Anthony BorgiaLas Vegas$47K
- Nahad WasselLas Vegas$24K
- Casey BurchillLas Vegas$20K
- Timothy BrookesLas Vegas$14K
- Daniel HallmanLas Vegas$12K
- Grant BeckLas Vegas$10K
- Thomman KuruvillaLas Vegas$9K
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.