John Clements
Podiatrist · Roanoke, VANPI 1629012208
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (51.4%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 96.2% of it on its own, with 19 other manufacturers making up the rest. Among podiatrist clinicians in VA 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 441 payments — averaging $2096.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$890K
- Globus Medical$9K
- Medical Device Business Services, Inc.$9K
- Gramercy Extremity Orthopedics LLC$7K
- Kerecis Limited$5K
- Forma Medical$3K
- plus $2K from 14 others
Across 47 payments — averaging $3892.74 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.
- Biotissue Holdings Inc.$179K
- Stryker$3K
- Bristol Myers Squibb$2K
Across 7 payments — averaging $14,286 each. An ownership or investment interest held by the physician or an immediate family member.
- Gramercy Extremity Orthopedics LLC$100K
What the payments were for
- Royalty or licence$475,10751%
- Consulting fees$352,50638%
- Speaking & faculty fees$38,5304%
- Travel & lodging$50,7625%
- Food & beverage$7,7011%
- Ownership interest$600%
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(2 entities) | 357 | $889,741 |
| Globus Medical | 12 | $9,270 |
| Medical Device Business Services, Inc. | 7 | $8,580 |
| Gramercy Extremity Orthopedics LLC | 30 | $6,715 |
| Kerecis Limited | 3 | $4,540 |
| Forma Medical | 8 | $3,348 |
| Synthes GmbH | 2 | $1,105 |
| Acera Surgical, Inc. | 4 | $371 |
| Sanara Medtech Inc. | 2 | $193 |
| International Life Sciences | 1 | $161 |
| Anika Therapeutics, Inc. | 1 | $135 |
| Ossio Inc | 2 | $131 |
| Medtronic | 2 | $94 |
| Amniox Medical, Inc. | 1 | $87 |
| Integra Lifesciences Corporation | 3 | $83 |
| Smith+Nephew | 2 | $32 |
| Linvatec Corporation | 1 | $28 |
| Orthofix Medical, Inc. | 1 | $18 |
| KCI USA, Inc. | 1 | $17 |
| Johnson & Johnson | 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.
- EASYFUSE$492,818
- FUSEFORCE$128,508
- ORTHOLOC 2 LAPIFUSE$93,365
- ORTHOLOC 3DI$76,724
- PROstep$46,766
- AUGMENT INJECTABLE$45,846
- INFINITY$43,012
- EASY CLIP$37,759
- VARIAX$33,881
- HOFFMANN$30,552
- R&D Foot and Ankle$28,048
- INBONE$27,301
- PROPHECY$25,661
- GRAVITY SYNCHFIX$23,476
- FIXOS$19,763
- Kerecis SurgiClose$18,089
- SALVATION$16,328
- ANCHORAGE$11,900
- ALLOMATRIX$11,050
- ALLOGRAFT$9,988
How this compares
$924,665 in reported general payments places this provider in the 95th percentile of 126 podiatrist providers in Virginia.
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 |
|---|---|---|
| Celecoxib | 14 | $1,407 |
| Gabapentin | 61 | $1,162 |
| Pregabalin | 34 | $796 |
| Ciclopirox | 17 | $608 |
| Diclofenac Sodium | 60 | $595 |
| Doxycycline Hyclate | 43 | $355 |
| Clindamycin Hcl | 38 | $281 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 35 | $279 |
| Cephalexin | 50 | $272 |
| Fluconazole | 19 | $259 |
| Levofloxacin | 47 | $234 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 37 | $223 |
| Mupirocin | 23 | $214 |
| Silver Sulfadiazine | 11 | $83 |
| Meloxicam | 28 | $61 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Roanoke
- Robert BoguskiRoanoke$12K
- Sarah MansagerRoanoke$11K
- Danny GhannoumRoanoke$2K
- Cheyenne ManafiRoanoke$1K
- Leland GilmoreAlexandria$155K
- Justin PhillinganePetersburg$82K
- Jeremy WaltersSuffolk$60K
- Matthew HopsonWilliamsburg$44K
- Benjamin ProtoNewport News$26K
- Kevin RabieVirginia Beach$18K
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.