James Vestile, DPM
Podiatrist · Tipton, INNPI 1174881148
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $28,001 of the $43,699 with a category attached, or 64.1%. 31 manufacturers reported payments, led by Ortho Solutions Inc at 27.5% of the total. Reporting peaked in 2022 at $13,955 and has fallen 94.0% since, to $843 in 2025. Among podiatrist clinicians in IN 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 120 payments — averaging $364.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ortho Solutions Inc$12K
- Flower Orthopedics Coporation$12K
- Ossio Inc$6K
- Bioventus LLC$4K
- New Standard Device, LLC Dba Metalogix$3K
- Crossroads Orthopedics, LLC$1K
- plus $5K from 25 others
Across 1 payment — averaging $3000.00 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.
- Skye Orthobiologics LLC$3K
What the payments were for
- Consulting fees$28,00164%
- Speaking & faculty fees$3,8889%
- Travel & lodging$3,6478%
- Food & beverage$5,96314%
- Education$2,2005%
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 |
|---|---|---|
| Ortho Solutions Inc | 30 | $12,034 |
| Flower Orthopedics Coporation | 4 | $11,616 |
| Ossio Inc | 4 | $6,000 |
| Bioventus LLC | 4 | $4,388 |
| New Standard Device, LLC Dba Metalogix | 2 | $3,400 |
| Crossroads Orthopedics, LLC | 1 | $1,200 |
| AMDT Holdings, Inc. | 2 | $1,079 |
| Trilliant Surgical LLC. | 1 | $1,000 |
| Stryker(2 entities) | 16 | $892 |
| Arthrosurface Incorporated | 1 | $322 |
| Smith+Nephew | 13 | $283 |
| Organogenesis Inc. | 2 | $203 |
| Kerecis Limited | 2 | $197 |
| Orthofix Medical, Inc. | 5 | $180 |
| Checkpoint Surgical, Inc | 1 | $125 |
| Paratek Pharmaceuticals, Inc. | 6 | $98 |
| Mimedx Group, Inc. | 2 | $97 |
| In2bones USA, LLC | 1 | $80 |
| Integra Lifesciences Corporation | 3 | $79 |
| Triad Life Sciences Inc. | 3 | $76 |
| Convatec Inc. | 4 | $76 |
| Johnson & Johnson | 2 | $58 |
| Averitas Pharma Inc. | 2 | $47 |
| Melinta Therapeutics, LLC | 2 | $35 |
| Zimmer Biomet | 1 | $33 |
| Vertex | 1 | $25 |
| Avita Medical Americas, LLC | 1 | $20 |
| DJO, LLC | 1 | $17 |
| IBSA Pharma Inc. | 1 | $16 |
| KCI USA, Inc. | 1 | $12 |
| Amgen | 1 | $11 |
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.
- OsteoAMP$1,500
- Tiger Cannulated Screw$1,000
- Kerecis Omega3 SurgiClose$497
- HemiCAP Shoulder$322
- Actishield$170
- Kerecis Omega3 GraftGuide$166
- Kerecis Omega3 Marigen$166
- ANCHORAGE$162
- INBONE$160
- HOFFMANN$150
- Checkpoint Stimulators$125
- TRUELOK SYSTEM$122
- Trinity ELITE$122
- TrueLok$122
- PuraPly$111
How this compares
$43,699 in reported general payments places this provider in the 95th percentile of 131 podiatrist 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 |
|---|---|---|
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 30 | $838 |
| Duloxetine Hcl | 49 | $651 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 109 | $644 |
| Pregabalin | 19 | $386 |
| Cephalexin | 49 | $340 |
| Gabapentin | 43 | $321 |
| Doxycycline Hyclate | 13 | $186 |
| Methylprednisolone | 40 | $183 |
| Ciprofloxacin Hcl | 13 | $110 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 11 | $88 |
| Terbinafine Hcl | 12 | $79 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Tipton
- Andrew RaderJasper$726K
- Anthony MillerIndianapolis$292K
- Corey GrohIndianapolis$57K
- Jeffrey StevensIndianapolis$56K
- Andrew KapsalisAvon$37K
- Scott HoffmanAvon$22K
- John RachoyMunster$21K
- Townsen KenningtonFort Wayne$20K
- Jared MoonCrown Point$19K
- Douglas SchuckmannLawrenceburg$12K
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.