James Clancy
Foot & Ankle Surgery · Atlantis, FLNPI 1346294576
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $76,267 of the $97,073 with a category attached, or 78.6%. Paragon 28, Inc. accounts for 81.5% of it on its own, with 21 other manufacturers making up the rest. Reporting peaked in 2021 at $24,757 and has fallen 89.3% since, to $2,656 in 2025. Among foot & ankle surgery clinicians in FL 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 $402.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$79K
- Stryker$12K
- Flower Orthopedics Coporation$2K
- Arthrex$1K
- Integra Lifesciences Corporation$562
- Treace Medical Concepts, Inc.$470
- plus $2K from 16 others
Across 17 payments — averaging $1338.09 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.
- Paragon 28, Inc.$23K
What the payments were for
- Royalty or licence$76,26779%
- Consulting fees$1,5082%
- Travel & lodging$7,0507%
- Food & beverage$10,74411%
- Education$1,1511%
- Gifts$3530%
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. | 42 | $79,146 |
| Stryker(2 entities) | 115 | $11,806 |
| Flower Orthopedics Coporation | 27 | $1,975 |
| Arthrex | 3 | $1,305 |
| Integra Lifesciences Corporation | 8 | $562 |
| Treace Medical Concepts, Inc. | 7 | $470 |
| Acera Surgical, Inc. | 2 | $247 |
| Smith+Nephew | 7 | $233 |
| DJO, LLC | 3 | $223 |
| Globus Medical | 2 | $176 |
| Organogenesis Inc. | 2 | $164 |
| Carbofix Orthopedics Inc | 2 | $151 |
| Orthofix Medical, Inc. | 5 | $148 |
| Southern Edge Orthopaedics, Inc. | 1 | $114 |
| Pacira Pharmaceuticals Incorporated | 5 | $84 |
| Embody, Inc. | 1 | $78 |
| Cumberland Pharmaceuticals, Inc. | 4 | $64 |
| Ossio Inc | 1 | $52 |
| Heron Therapeutics, Inc. | 1 | $32 |
| Vericel Corporation | 1 | $25 |
| Amgen | 1 | $13 |
| Ossdsign USA Incorporated | 1 | $7 |
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.
- Product Portfolio$38,530
- Portfolio$19,747
- INFINITY$2,738
- APEX 3D$2,384
- PROPHECY$1,939
- PROstep$998
- Calcaneus Plate, MIS, Large, Right$863
- Calcaneus Plate, MIS, Small, Right$863
- Calcaneus Plate, MIS, Medium, Right$863
- Calcaneus Plate, MIS, Small, Left$863
- Calcaneus Plate, MIS, Medium, Left$863
- INBONE$715
- INFINITY ADAPTIS$684
- VARIAX$533
- ORTHOLOC 3DI$519
- HOFFMANN$268
- Lapiplasty System$249
- Restrata Wound Matrix$247
- ORTHOLOC$246
- AUGMENT INJECTABLE$168
How this compares
$97,073 in reported general payments places this provider in the 95th percentile of 850 foot & ankle surgery providers in Florida.
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 |
|---|---|---|
| XareltoRivaroxaban | 29 | $11,219 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 55 | $561 |
| Ondansetron OdtOndansetron | 53 | $552 |
| Cephalexin | 22 | $278 |
| Gabapentin | 17 | $148 |
| Methylprednisolone | 19 | $127 |
| Meloxicam | 54 | $70 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Atlantis
- John LevinAtlantis$88K
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
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.