James Vukonich, DPM
Podiatrist · Fremont, NENPI 1477596443
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,092 of the $1,570 with a category attached, or 69.6%. Treace Medical Concepts, Inc. accounts for 77.8% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2022 at $1,092 and has fallen 76.9% since, to $252 in 2025. That places this record below the midpoint for podiatrist clinicians in NE, where the typical reported total is $2,647.
Across 13 payments — averaging $120.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$1K
- Comsort, Inc$100
- Organogenesis Inc.$90
- Amgen$53
- Vertex$49
- Paratek Pharmaceuticals, Inc.$42
- plus $15 from 1 others
What the payments were for
- Consulting fees$1006%
- Travel & lodging$1,09270%
- Food & beverage$37824%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 4 | $1,221 |
| Comsort, Inc | 1 | $100 |
| Organogenesis Inc. | 1 | $90 |
| Amgen | 2 | $53 |
| Vertex | 2 | $49 |
| Paratek Pharmaceuticals, Inc. | 2 | $42 |
| Convatec Inc. | 1 | $15 |
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.
- Lapiplasty System$1,092
- SIVEXTRO$100
How this compares
$1,570 in reported general payments places this provider in the 40th percentile of 29 podiatrist providers in Nebraska.
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 | 69 | $1,415 |
| Amitriptyline Hcl | 31 | $465 |
| Esomeprazole Magnesium | 13 | $422 |
| Cephalexin | 87 | $408 |
| Meloxicam | 28 | $263 |
| Famotidine | 12 | $252 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 22 | $236 |
| Gabapentin | 13 | $173 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $64 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Fremont
- Donald BuddeckeBellevue$47K
- Nathan PenneyOmaha$16K
- Glenn YorkOmaha$10K
- Emlyn ForsungOmaha$9K
- Michael CullenOmaha$8K
- Scott ShindlerWausa$8K
- Katherine TernentLincoln$7K
- Russell CarlstonHoldrege$6K
- Robert HinzeMcCook$5K
- Jonathan LittlePapillion$5K
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.