Jonathan Smedley, DPM
Foot & Ankle Surgery · Round Rock, TXNPI 1679535553
Payments from drug & device makers
What this record shows
The money is spread across several categories — other (34.2%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 60 manufacturers reported payments, led by Skye Orthobiologics LLC at 34.2% of the total. Reporting peaked in 2024 at $52,886 and has fallen 78.4% since, to $11,399 in 2025. Among foot & ankle surgery clinicians in TX 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 610 payments — averaging $172.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Skye Orthobiologics LLC$36K
- Treace Medical Concepts, Inc.$31K
- Osiris Therapeutics Inc.$6K
- Medline Industries LP$5K
- Stryker$5K
- Arthrex$4K
- plus $18K from 54 others
What the payments were for
- Consulting fees$22,64322%
- Speaking & faculty fees$8,5008%
- Travel & lodging$16,72316%
- Food & beverage$17,08816%
- Education$4,2044%
- Gifts$460%
- Other$36,00034%
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.
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.
- Lapiplasty System$20,477
- Grafix$6,498
- GrafixPL$6,079
- LAPIPLASTY SYSTEM 1$6,066
- INBONE$1,652
- Lapiplasty$1,478
- INFINITY$1,399
- Medline Unite Foot Plating System$1,124
- HemiCAP MTP Resurfacing$504
- Grafix PRIME$500
- Grafix CORE$500
- Grafix XC$500
- Grafix PL PRIME$500
- FLOWTRIEVER CATHETER, S$322
- CT THROMBECTOMY SYSTEM KIT$322
- Orthopedic Kits: UNITE Kit, Suture Anchor Instruments$315
- Arsenal Sinus Support Plate$289
- Proclaim IPG$257
- Stravix$210
- SONICANCHOR$167
How this compares
$105,203 in reported general payments places this provider in the 95th percentile of 684 foot & 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 |
|---|---|---|
| Colchicine | 33 | $2,137 |
| Ciclopirox | 57 | $1,476 |
| Gabapentin | 78 | $1,009 |
| Doxycycline Monohydrate | 66 | $779 |
| Meloxicam | 86 | $589 |
| Allopurinol | 46 | $549 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 86 | $500 |
| Cephalexin | 58 | $259 |
| Tramadol Hcl | 44 | $168 |
| Levofloxacin | 16 | $105 |
| Mupirocin | 11 | $81 |
| Triamcinolone Acetonide | 13 | $38 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Round Rock
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
- Abdul NurudeenHouston$404K
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.