Jonathan Towarnicki, DPM
Foot & Ankle Surgery · Louisville, KYNPI 1497043806
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $15,455 of the $21,608 with a category attached, or 71.5%. 49 manufacturers reported payments, led by Stryker at 28.3% of the total. Among foot & ankle surgery clinicians in KY 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 543 payments — averaging $39.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$6K
- Smith+Nephew$4K
- Alpha Orthopedic Systems$2K
- Osteomed LLC$2K
- Organogenesis Inc.$1K
- Bone Support Inc.$765
- plus $6K from 43 others
What the payments were for
- Speaking & faculty fees$2,0019%
- Travel & lodging$1,7528%
- Food & beverage$15,45572%
- Education$2,40011%
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.
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.
- EXT-Other$1,500
- Grafix$1,024
- Stravix$910
- CARTIVA$748
- CERAMENTBONE VOID FILLER$684
- CERAMENT G$684
- VA-LCP PLATES & SCREWS$651
- PuraPly$626
- GrafixPL$500
- EASYFUSE$483
- ORTHOLOC 2 LAPIFUSE$467
- AUGMENT INJECTABLE$452
- RENASYS TOUCH$410
- INBONE$385
- KRYSTEXXA$360
- HOFFMANN$294
- ORTHOLOC$280
- GRAFIX PL$272
- Oasis$262
- VARIAX$256
How this compares
$21,608 in reported general payments places this provider in the 90th percentile of 141 foot & ankle surgery providers in Kentucky.
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 | 42 | $1,188 |
| Gabapentin | 39 | $440 |
| Doxycycline Hyclate | 37 | $308 |
| Clindamycin Hcl | 18 | $176 |
| Meloxicam | 13 | $148 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $143 |
| Cephalexin | 17 | $91 |
| Methylprednisolone | 11 | $81 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 16 | $79 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $72 |
| Levofloxacin | 16 | $44 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Louisville
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
- Zachary OgdenLouisville$22K
- Eric GustafsonLouisville$20K
- Nicholas VogelsangLouisville$18K
- Jordan VogtLouisville$12K
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.