James Sills Powell
Foot & Ankle Surgery · Wentzville, MONPI 1689985087
Payments from drug & device makers
Across 95 payments — averaging $69.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Metric Medical Devices, Inc.$2K
- Elite Orthopedics, LLC$1K
- Organogenesis Inc.$645
- Smith+Nephew$328
- Zimmer Biomet$159
- plus $253 from 9 others
Across 1 payment — averaging $1375.00 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.
- Metric Medical Devices, Inc.$1K
What the payments were for
- Consulting fees$1,78827%
- Food & beverage$1,54523%
- Education$3,30050%
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 |
|---|---|---|
| Arthrex | 7 | $2,156 |
| Metric Medical Devices, Inc. | 1 | $1,788 |
| Elite Orthopedics, LLC | 3 | $1,305 |
| Organogenesis Inc. | 53 | $645 |
| Smith+Nephew | 19 | $328 |
| Zimmer Biomet | 3 | $159 |
| KCI USA, Inc. | 1 | $60 |
| Tactile Systems Technology Inc | 1 | $49 |
| Integra Lifesciences Corporation | 1 | $29 |
| Bioventus LLC | 1 | $29 |
| Stryker | 1 | $26 |
| Solventum Corporation | 1 | $25 |
| Polarityte, Inc. | 1 | $18 |
| Misonix Inc | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $4 |
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.
- LINK$1,788
- MAX VPC Screw System$106
- Alps Foot$106
- Nextremity InCore$106
How this compares
$6,633 in reported general payments places this provider in the 55th percentile of 163 foot & ankle surgery providers in Missouri.
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 |
|---|---|---|
| SantylCollagenase Clostridium Hist. | 16 | $8,085 |
| Mupirocin | 188 | $1,499 |
| Ammonium Lactate | 33 | $991 |
| Ketoconazole | 48 | $764 |
| Ondansetron Hcl | 20 | $466 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 33 | $400 |
| Ciclopirox | 14 | $320 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 30 | $304 |
| Gabapentin | 26 | $234 |
| Doxycycline Hyclate | 18 | $228 |
| Cephalexin | 21 | $218 |
| Ciprofloxacin Hcl | 11 | $79 |
| Meloxicam | 12 | $29 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Smith+NephewSantyl | $328 | $8,08516 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 55th percentile of 163 foot & ankle surgery providers in Missouri.
Other foot & ankle surgery in Wentzville
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Timothy BadweyKansas City$427K
- Amar PatelLees Summit$272K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- Anthony LombardoBridgeton$132K
- Jason AndersonKansas City$131K
- John HoltzmanSaint Louis$129K
- Jesse WolfeSaint Louis$89K
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.