Jordan Ernst, DPM
Foot & Ankle Surgery · Grapevine, TXNPI 1801281779
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (50.2%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 38 manufacturers, the largest accounting for just 17.7%. Reporting peaked in 2019 at $7,494 and has fallen 56.6% since, to $3,251 in 2025.
Across 307 payments — averaging $93.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$5K
- Paragon 28, Inc.$5K
- Treace Medical Concepts, Inc.$4K
- Integra Lifesciences Corporation$4K
- Smith+Nephew$4K
- Pylant Medical$1K
- plus $6K from 32 others
What the payments were for
- Consulting fees$7503%
- Speaking & faculty fees$120%
- Travel & lodging$7,96528%
- Food & beverage$14,35350%
- Education$5,53719%
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.
| Company | Payments | Total |
|---|---|---|
| Arthrex | 14 | $5,062 |
| Paragon 28, Inc. | 13 | $4,676 |
| Treace Medical Concepts, Inc. | 33 | $4,361 |
| Integra Lifesciences Corporation | 63 | $3,676 |
| Smith+Nephew | 83 | $3,501 |
| Pylant Medical | 7 | $1,491 |
| Orthofix Medical, Inc. | 13 | $1,401 |
| Bone Support Inc. | 2 | $879 |
| Stryker | 13 | $729 |
| Johnson & Johnson | 9 | $572 |
| Polynovo North America LLC | 10 | $396 |
| Medical Device Business Services, Inc. | 5 | $334 |
| Shockwave Medical, Inc | 1 | $186 |
| Extremity Medical | 3 | $155 |
| Ortho Solutions Inc | 1 | $127 |
| Nvision Biomedical Technologies, Inc. | 1 | $127 |
| Vertex | 4 | $93 |
| KCI USA, Inc. | 1 | $91 |
| Pacira Pharmaceuticals Incorporated | 3 | $81 |
| Mimedx Group, Inc. | 3 | $77 |
| Lifenet Health | 4 | $77 |
| Shalby Advanced Technologies, Inc. | 1 | $67 |
| Bioventus LLC | 2 | $65 |
| Solventum Corporation | 2 | $46 |
| Merck | 1 | $44 |
| Nevro Corp. | 2 | $39 |
| Paratek Pharmaceuticals, Inc. | 2 | $38 |
| Kerecis Limited | 1 | $34 |
| Averitas Pharma Inc. | 1 | $32 |
| Urgo Medical North America, LLC | 1 | $23 |
| BD | 1 | $22 |
| Nalu Medical, Inc. | 1 | $22 |
| Sanofi-aventis U.S. LLC | 1 | $21 |
| Acumed LLC | 1 | $18 |
| Medtronic | 1 | $16 |
| Baxter Healthcare | 1 | $13 |
| Cumberland Pharmaceuticals, Inc. | 1 | $12 |
| Next Science LLC | 1 | $11 |
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.
- INTEGRA$4,200
- Lapiplasty System$3,360
- Product Portfolio$2,226
- INTEGRA DERMAL REGENERATION TEMPLATE$1,400
- PRIMATRIX$1,400
- APEX 3D$1,290
- Portfolio$981
- CERAMENTBONE VOID FILLER$879
- CERAMENT G$879
- TL-HEX TRUELOK HEXAPOD SYSTEM$864
- Taylor Spatial Frame$767
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$471
- Ilizarov System$423
- CADENCE ANKLE REPLACEMENT SYSTEM$340
- PANTA NAIL$340
- TOTAL FOOT SYSTEM$340
- Cadence$265
- Panta 2$265
- Novosorb BTM$240
- HALLU-LOCK$232
How this compares
$28,617 in reported general payments places this provider in the 85th 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 |
|---|---|---|
| Ciclopirox | 15 | $701 |
| Celecoxib | 37 | $314 |
| Gabapentin | 45 | $295 |
| Allopurinol | 22 | $209 |
| Cephalexin | 24 | $173 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 13 | $107 |
| Ciprofloxacin Hcl | 11 | $73 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 12 | $56 |
| Tramadol Hcl | 11 | $23 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $17 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Grapevine
- Paul SteinkeGrapevine$233K
- 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
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.