Jason Keppler
Foot & Ankle Surgery · Dubuque, IANPI 1770759953
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $2,073 of the $3,273 with a category attached, or 63.3%. 9 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 35.0% of the total. Reporting peaked in 2023 at $1,429 and has fallen 84.8% since, to $217 in 2025.
Across 47 payments — averaging $69.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$1K
- Wardlow Enterprises$724
- Arthrex$462
- Fusion Orthopedics USA, LLC$403
- Stryker$238
- Organogenesis Inc.$177
- plus $123 from 3 others
What the payments were for
- Travel & lodging$2,07363%
- Food & beverage$1,20037%
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. | 6 | $1,146 |
| Wardlow Enterprises | 1 | $724 |
| Arthrex | 4 | $462 |
| Fusion Orthopedics USA, LLC | 2 | $403 |
| Stryker | 14 | $238 |
| Organogenesis Inc. | 13 | $177 |
| Zimmer Biomet | 3 | $54 |
| Solventum Corporation | 2 | $34 |
| Smith+Nephew | 2 | $34 |
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.
How this compares
$3,273 in reported general payments places this provider in the 55th percentile of 112 foot & ankle surgery providers in Iowa.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 42 | $207 |
| Cephalexin | 12 | $68 |
| Prednisone | 11 | $9 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Dubuque
- Nicole JedlickaDubuque$3K
- Kara FranzenDubuque$2K
- Michael LeeDes Moines$2.1M
- Phinit PhisitkulSioux City$1.4M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$330K
- Charles CibulaCedar Falls$38K
- Gregory FooteWaterloo$35K
- Nathan ShumwayCouncil Bluffs$33K
- Justin RaatzDes Moines$28K
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.