Jesseka Kaldenberg-Leppert, DPM
Foot & Ankle Surgery · Ankeny, IANPI 1417517178
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.2%), travel and lodging and education — rather than concentrated in one kind of arrangement. 11 manufacturers reported payments, led by Stryker at 58.4% of the total.
Across 85 payments — averaging $69.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Treace Medical Concepts, Inc.$1K
- Wardlow Enterprises$547
- AbbVie$140
- Orthofix Medical, Inc.$102
- Johnson & Johnson$94
- plus $153 from 5 others
What the payments were for
- Travel & lodging$2,40041%
- Food & beverage$2,97550%
- Education$5479%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 58 | $3,461 |
| Treace Medical Concepts, Inc. | 10 | $1,426 |
| Wardlow Enterprises | 1 | $547 |
| AbbVie | 2 | $140 |
| Orthofix Medical, Inc. | 3 | $102 |
| Johnson & Johnson(2 entities) | 4 | $94 |
| Mimedx Group, Inc. | 2 | $72 |
| Paratek Pharmaceuticals, Inc. | 2 | $28 |
| Integra Lifesciences Corporation | 1 | $19 |
| Organogenesis Inc. | 1 | $19 |
| Smith+Nephew | 1 | $16 |
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.
- PROstep$1,555
- PERCUPLASTY TRAY$522
- LAPIPLASTY SYSTEM 1$266
- 7 X 23MM CITRELOCK IMPLANT$174
- Lapiplasty System$169
- VARIAX$158
- INFINITY$135
- AXSOS$127
- DALVANCE$125
- ORTHOLOC 3DI$124
- ORTHOLOC 2 LAPIFUSE$112
- TMC PSI CUT GUIDE SYSTEM$102
How this compares
$5,922 in reported general payments places this provider in the 70th 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 |
|---|---|---|
| Levofloxacin | 16 | $101 |
| Methylprednisolone | 11 | $72 |
| Gabapentin | 15 | $39 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Ankeny
- Bryan TroutAnkeny$5K
- 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
- Tuvi MendelDavenport$26K
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.