John Kosko, MD
Foot and Ankle Surgery · Hattiesburg, MSNPI 1295937928
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (49.8%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 20 manufacturers reported payments, led by Linvatec Corporation at 30.7% of the total. 2025 is the largest year on record at $12,334, 4.3 times the $2,888 reported in 2019.
Across 166 payments — averaging $243.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Linvatec Corporation$12K
- In2bones USA, LLC$11K
- Paragon 28, Inc.$7K
- Stryker$4K
- ALON Medical Technology$3K
- Arthrex$2K
- plus $1K from 14 others
What the payments were for
- Royalty or licence$20,16150%
- Consulting fees$4,11010%
- Travel & lodging$10,60326%
- Food & beverage$5,58714%
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 |
|---|---|---|
| Linvatec Corporation | 12 | $12,406 |
| In2bones USA, LLC | 13 | $11,446 |
| Paragon 28, Inc. | 26 | $6,573 |
| Stryker(2 entities) | 37 | $3,859 |
| ALON Medical Technology | 27 | $2,847 |
| Arthrex | 16 | $1,862 |
| Johnson & Johnson | 4 | $321 |
| Abbott | 8 | $296 |
| Coastal Medical Technologies LLC | 2 | $165 |
| Triad Life Sciences Inc. | 1 | $139 |
| Boston Scientific | 2 | $94 |
| Medshape, Inc. | 1 | $90 |
| Vertex | 5 | $80 |
| Organogenesis Inc. | 3 | $73 |
| Kuros Biosciences USA, Inc | 1 | $69 |
| Zimmer Biomet | 1 | $39 |
| Treace Medical Concepts, Inc. | 2 | $36 |
| Bioventus LLC | 2 | $30 |
| Medela LLC | 2 | $21 |
| Kowa Pharmaceuticals America, Inc. | 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.
- ALLOGRAFT TISSUE$7,314
- CoLink$6,063
- ALLOAID$5,051
- Portfolio$2,522
- APEX 3D$2,498
- INFINITY$2,458
- Quantum Total Ankle$245
- TriWay TTC Nail$245
- Grappler$139
- InnovaMatrix AC$139
- Actishield$127
- ANCHORAGE$125
- Bun-Yo-Matic$121
- Proclaim Family of SCS IPGs$120
- MOTOBAND$118
- NA$118
- NeoSpan$118
- IBS$118
- LCP$108
- TFN-Advance$108
How this compares
Too few foot and ankle surgery providers in Mississippito place this figure against a meaningful peer group, so we don't.
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 |
|---|---|---|
| Gabapentin | 40 | $358 |
| Diclofenac Sodium | 12 | $267 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 28 | $161 |
| Doxycycline Hyclate | 12 | $75 |
| Ondansetron Hcl | 16 | $61 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 32 | $61 |
| Meloxicam | 28 | $58 |
| Tramadol Hcl | 28 | $47 |
| Famotidine | 35 | $14 |
| Metoclopramide Hcl | 12 | $5 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Hattiesburg
- Gachavis GreenHattiesburg$125
- Marion LundOxford$46K
- Lori ReedJackson$28K
- Jeremy AdamsTupelo$17K
- Daniel RossFlowood$16K
- Judith SmithBiloxi$8K
- Jeffery VanyperenAmory$6K
- Steven GeorgianLucedale$4K
- Ashley BlackwellJackson$2K
- Richard CukeljCleveland$2K
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.