James Flynn, MD
Foot and Ankle Surgery · South Bend, INNPI 1982861522
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (41.1%), food and beverage and education — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Stryker at 40.4% of the total. Reporting peaked in 2022 at $5,651 and has fallen 86.7% since, to $753 in 2025.
Across 107 payments — averaging $125.14 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Crossroads Orthopedics, LLC$5K
- Steris Corporation$1K
- Arthrex$382
- Zimmer Biomet$343
- Smith+Nephew$276
- plus $682 from 12 others
What the payments were for
- Travel & lodging$5,49941%
- Food & beverage$4,29232%
- Education$3,60027%
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 |
|---|---|---|
| Stryker(2 entities) | 54 | $5,409 |
| Crossroads Orthopedics, LLC | 5 | $5,098 |
| Steris Corporation | 2 | $1,202 |
| Arthrex | 6 | $382 |
| Zimmer Biomet | 7 | $343 |
| Smith+Nephew | 9 | $276 |
| Orthofix Medical, Inc. | 7 | $206 |
| Exactech, Inc. | 1 | $151 |
| Paragon 28, Inc. | 3 | $87 |
| Bioventus LLC | 3 | $46 |
| Medical Device Business Services, Inc. | 2 | $42 |
| Pacira Pharmaceuticals Incorporated | 2 | $38 |
| Linvatec Corporation | 1 | $28 |
| Sun Pharmaceutical Industries Inc. | 1 | $23 |
| Amgen | 1 | $20 |
| BREG, Inc | 1 | $15 |
| Avanos Medical | 1 | $14 |
| Johnson & Johnson | 1 | $12 |
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.
- INFINITY$1,766
- PRIME SERIES$1,546
- AMSCO$1,177
- HarmonyAIR$1,177
- INBONE$649
- INVISION$170
- PROPHECY$170
- T2$169
- VANTAGE$151
- Physio-Stim$136
- PROstep$130
- Bioinductive Implant with Arthroscopic Delivery System - Medium$117
- Q-FIX$117
How this compares
$13,390 in reported general payments places this provider in the 75th percentile of 212 foot and ankle surgery providers in Indiana.
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 |
|---|---|---|
| Diclofenac Sodium | 33 | $919 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 74 | $732 |
| Cephalexin | 27 | $367 |
| Doxycycline Hyclate | 17 | $318 |
| Naproxen | 29 | $176 |
| Gabapentin | 11 | $161 |
| Ibuprofen | 23 | $157 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $137 |
| Ondansetron Hcl | 13 | $92 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in South Bend
- Kevin AndersonSouth Bend$46K
- Steven HerbstMuncie$1.6M
- Douglas BlacklidgeKokomo$689K
- Patrick DeheerIndianapolis$493K
- Scott NevilleMooresville$353K
- Travis MontgomeryWestfield$345K
- Robert Clemency IiiSchererville$215K
- William AdamsGreenfield$178K
- Steven DouthettFort Wayne$153K
- Christopher WintersCarmel$152K
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.