Joshua Metzl, MD
Foot and Ankle Surgery · Englewood, CONPI 1417116351
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $1,689,341 of the $1,847,729 with a category attached, or 91.4%. Arthrex accounts for 99.8% of it on its own, with 13 other manufacturers making up the rest. Among foot and ankle surgery clinicians in CO 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 267 payments — averaging $6920.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$1.8M
- Gemini Mountain Medical, LLC$2K
- Stryker$522
- Medline Industries LP$422
- Treace Medical Concepts, Inc.$197
- Biotissue Holdings Inc.$178
- plus $604 from 8 others
Across 3 payments — averaging $31,071 each. An ownership or investment interest held by the physician or an immediate family member.
- GLW, Inc$93K
What the payments were for
- Royalty or licence$1,689,34191%
- Consulting fees$14,6131%
- Speaking & faculty fees$129,2867%
- Travel & lodging$8,5580%
- Food & beverage$4,7300%
- Education$1,2000%
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 | 232 | $1,844,265 |
| Gemini Mountain Medical, LLC | 6 | $1,540 |
| Stryker(2 entities) | 6 | $522 |
| Medline Industries LP | 3 | $422 |
| Treace Medical Concepts, Inc. | 5 | $197 |
| Biotissue Holdings Inc. | 1 | $178 |
| Trimed, Inc. | 1 | $135 |
| Gemini Medical LLC | 1 | $125 |
| Celularity Inc. | 1 | $122 |
| Bioventus LLC | 6 | $111 |
| Johnson & Johnson | 2 | $39 |
| Smith+Nephew | 1 | $30 |
| Medical Device Business Services, Inc. | 1 | $26 |
| Acumed LLC | 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.
- ARTHREX$6,884,902
- DISTAL EXTREMITIES IMPLANTS DYNANITE STAPLES$261,673
- DISTAL EXTREMITIES IMPLANTS FOOT & ANKLE DYNANITE STAPLES$52,813
- DISTAL EXTREMITIES IMPLANTS FOREFOOT MTP$1,025
- DISTAL EXTREMITIES IMPLANTS IB LIGAMENT AUGMENTATION OTHER$213
- CLARIX$178
- PROPHECY$165
- SALVATION$147
- INFINITY$138
- Interfyl$122
- DISTAL EXTREMITIES IMPLANTS MIDFOOT PLATES & SCREWS COMPRESSION PLATES$117
- DISTAL EXTREMITIES INSTRUMENTS FRACTURE MANAGEMENT SMALL FRAGMENT$104
How this compares
$1,847,729 in reported general payments places this provider in the 95th percentile of 181 foot and ankle surgery providers in Colorado.
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 |
|---|---|---|
| Diclofenac Sodium | 16 | $145 |
| Meloxicam | 21 | $125 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Englewood
- Gary SchmidtEnglewood$17K
- Michael HoughtonFort Collins$2M
- Brad DresherColorado Springs$1.3M
- Thomas ClantonVail$1.1M
- Brett SachsWheat Ridge$806K
- Jeffrey LehrmanFort Collins$628K
- Kevin NagamaniDenver$288K
- Keith JacobsonDenver$241K
- William MontrossColorado Springs$238K
- Dustin KruseWheat Ridge$217K
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.