Joseph Kukla, DPM
Podiatrist · Cedar Rapids, IANPI 1225342751
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 96.6% of the total across 100 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 18 manufacturers reported payments, led by Stryker at 33.0% of the total. 2025 is the largest year on record at $1,106, 4.5 times the $248 reported in 2019.
Across 100 payments — averaging $26.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$884
- Organogenesis Inc.$475
- Kerecis Limited$369
- Treace Medical Concepts, Inc.$198
- Zimmer Biomet$110
- Smith+Nephew$89
- plus $554 from 12 others
What the payments were for
- Speaking & faculty fees$903%
- Food & beverage$2,58997%
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 |
|---|---|---|
| Stryker | 37 | $884 |
| Organogenesis Inc. | 20 | $475 |
| Kerecis Limited | 5 | $369 |
| Treace Medical Concepts, Inc. | 6 | $198 |
| Zimmer Biomet | 6 | $110 |
| Smith+Nephew | 4 | $89 |
| Johnson & Johnson | 2 | $72 |
| Boston Scientific | 1 | $70 |
| Medshape, Inc. | 1 | $66 |
| Kowa Pharmaceuticals America, Inc. | 4 | $64 |
| Novastep Inc. | 1 | $56 |
| AbbVie(2 entities) | 3 | $51 |
| Vertex | 2 | $39 |
| Integra Lifesciences Corporation | 2 | $37 |
| Paratek Pharmaceuticals, Inc. | 2 | $32 |
| Convatec Inc. | 2 | $31 |
| Pacira Pharmaceuticals Incorporated | 1 | $19 |
| Orthofix Medical, Inc. | 1 | $19 |
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.
- Kerecis SurgiClose$1,266
- Kerecis GraftGuide$317
- ORTHOLOC 2 LAPIFUSE$181
- NuShield$137
How this compares
$2,679 in reported general payments places this provider in the 60th percentile of 94 podiatrist providers in Iowa.
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 |
|---|---|---|
| Ketoconazole | 18 | $345 |
| Gentamicin Sulfate | 19 | $309 |
| Terbinafine Hcl | 15 | $135 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $91 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $88 |
| Cephalexin | 11 | $33 |
| Meloxicam | 13 | $7 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Cedar Rapids
- Peter CaldwellCedar Rapids$8K
- Michelle DoleCedar Rapids$5K
- Rodney DempewolfCedar Rapids$2K
- Paul DaytonAnkeny$9.4M
- Mindi DaytonAnkeny$333K
- Eric BarpWest Des Moines$149K
- Travis TidwellWaterloo$33K
- Eric TempleWest Des Moines$19K
- Eric JensenCarroll$17K
- Eric ReeseWest Des Moines$14K
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.