Jay Lechner, DPM
Foot & Ankle Surgery · Louisville, KYNPI 1306416854
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (45.3%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. It is spread thinly across 34 manufacturers, the largest accounting for just 23.6%. 2025 is the largest year on record at $14,417, 9.0 times the $1,598 reported in 2021. Among foot & ankle surgery clinicians in KY 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 256 payments — averaging $111.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$7K
- Vilex LLC$6K
- Arthrex$3K
- Alpha Orthopedic Systems$3K
- Blue Surgical LLC$3K
- Integra Lifesciences Corporation$2K
- plus $5K from 28 others
What the payments were for
- Speaking & faculty fees$2,5009%
- Travel & lodging$10,65737%
- Food & beverage$12,93245%
- Education$2,4309%
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 | 78 | $6,741 |
| Vilex LLC | 26 | $6,072 |
| Arthrex | 9 | $3,215 |
| Alpha Orthopedic Systems | 5 | $2,726 |
| Blue Surgical LLC | 30 | $2,591 |
| Integra Lifesciences Corporation | 20 | $2,101 |
| Paragon 28, Inc. | 7 | $551 |
| Johnson & Johnson | 9 | $544 |
| Lifenet Health | 3 | $395 |
| Smith+Nephew | 9 | $306 |
| Bone Support Inc. | 3 | $285 |
| Acera Surgical, Inc. | 2 | $282 |
| Zimmer Biomet | 6 | $271 |
| Organogenesis Inc. | 2 | $251 |
| Convatec Inc. | 5 | $238 |
| Paratek Pharmaceuticals, Inc. | 4 | $178 |
| Nevro Corp. | 2 | $175 |
| Sanara Medtech Inc. | 1 | $169 |
| Inari Medical, Inc. | 1 | $168 |
| Vertex | 5 | $163 |
| Trilliant Surgical LLC. | 1 | $149 |
| Ossio Inc | 1 | $135 |
| Imbed Biosciences Inc. | 11 | $125 |
| Bioventus LLC | 2 | $114 |
| Medshape, Inc. | 1 | $107 |
| Avita Medical Americas, LLC | 4 | $91 |
| Orthofix Medical, Inc. | 2 | $88 |
| Biotissue Holdings Inc. | 1 | $81 |
| Bsn Medical Inc | 1 | $47 |
| Kerecis Limited | 1 | $40 |
| Treace Medical Concepts, Inc. | 1 | $38 |
| Checkpoint Surgical, Inc | 1 | $31 |
| Osteomed LLC | 1 | $30 |
| Acumed LLC | 1 | $18 |
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.
- INTEGRA$4,971
- HINTERMANN$3,495
- INTEGRA DERMAL REGENERATION TEMPLATE$1,657
- PRIMATRIX$1,657
- Artemis$1,596
- CITREFIX$831
- HOFFMANN$819
- AUGMENT INJECTABLE$715
- ALLOFIBER$691
- ORTHOLOC 3DI$689
- ORTHOLOC 2 LAPIFUSE$579
- TheraGenesis Wound Matrix$395
- APEX 3D$366
- INBONE$291
- Restrata Wound Matrix$282
- PROPHECY$271
- CERAMENTBONE VOID FILLER$254
- CERAMENT G$254
- PROSTEP MICA$252
- CellerateRx$169
How this compares
$28,518 in reported general payments places this provider in the 95th percentile of 141 foot & ankle surgery providers in Kentucky.
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 | 16 | $128 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $123 |
| Doxycycline Hyclate | 22 | $121 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Louisville
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
- Jonathan TowarnickiLouisville$22K
- Zachary OgdenLouisville$22K
- Eric GustafsonLouisville$20K
- Nicholas VogelsangLouisville$18K
- Jordan VogtLouisville$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.