John Noack, MD
Foot and Ankle Surgery · Dallas, TXNPI 1326058835
Payments from drug & device makers
What this record shows
The money is spread across several categories — other (53.0%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Linvatec Corporation at 58.2% of the total. Reporting peaked in 2022 at $27,699 and has fallen 97.7% since, to $642 in 2025. Among foot and ankle surgery clinicians in TX with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 113 payments — averaging $435.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Linvatec Corporation$29K
- 4web, Inc.$8K
- Pylant Medical$4K
- Stryker$3K
- Vilex LLC$2K
- In2bones USA, LLC$1K
- plus $4K from 18 others
Across 1 payment — averaging $2250.00 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.
- Linvatec Corporation$2K
Across 7 payments — averaging $48,499 each. An ownership or investment interest held by the physician or an immediate family member.
- 4web, Inc.$339K
What the payments were for
- Consulting fees$11,45423%
- Travel & lodging$2,6225%
- Food & beverage$5,77212%
- Education$3,2657%
- Other$26,08253%
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 | 7 | $28,609 |
| 4web, Inc. | 13 | $7,630 |
| Pylant Medical | 10 | $3,579 |
| Stryker(2 entities) | 37 | $2,612 |
| Vilex LLC | 4 | $1,927 |
| In2bones USA, LLC | 4 | $1,330 |
| Ossio Inc | 3 | $1,120 |
| Arthrex | 8 | $783 |
| Extremity Medical | 2 | $305 |
| Medartis Inc. | 4 | $292 |
| Restor3d, Inc. | 1 | $207 |
| Exactech, Inc. | 1 | $154 |
| Zimmer Biomet | 2 | $135 |
| Paragon 28, Inc. | 1 | $87 |
| Bioventus LLC | 3 | $80 |
| Integra Lifesciences Corporation | 1 | $67 |
| Curonix LLC | 1 | $63 |
| Vertex | 3 | $58 |
| Merck | 3 | $46 |
| Alafair Biosciences, Inc. | 1 | $33 |
| Abbott | 1 | $23 |
| Globus Medical | 1 | $20 |
| Smith+Nephew | 1 | $18 |
| Amgen | 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.
- AVENGER RADIAL HEAD, +4 STEMS$26,082
- SPINE TRUSS SYSTEM$7,410
- QUANTUM$2,500
- HINTERMANN$1,902
- Quantum Total Ankle$1,000
- INBONE$558
- INFINITY$264
- AUGMENT$211
- 7 X 23MM CITRELOCK IMPLANT$167
- AXS INFINITY LS$166
- TriWay TTC Nail$162
- CoLink$162
- 5MS$162
- VANTAGE$154
- ORTHOLOC 2 LAPIFUSE$152
- DISTAL EXTREMITIES IMPLANTS FRACTURE MANAGEMENT ANKLE FRACTURE$121
- SALVATION$116
How this compares
$49,195 in reported general payments places this provider in the 90th percentile of 684 foot and ankle surgery providers in Texas.
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 | 29 | $445 |
| Ondansetron OdtOndansetron | 32 | $290 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $207 |
| Meloxicam | 30 | $118 |
| Methylprednisolone | 21 | $114 |
| Amitriptyline Hcl | 11 | $109 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 14 | $104 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Dallas
- Eugene CurryDallas$3.1M
- Paul KimDallas$928K
- John EarlyDallas$553K
- Dane WukichDallas$189K
- Charles CookDallas$92K
- Trapper LalliDallas$74K
- Veerabhadra ReddyDallas$59K
- William McGarveyKaty$3.5M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
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.