Joshua Nichols, DPM
Podiatrist · Tallahassee, FLNPI 1790281475
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (33.2%), consulting fees and education — rather than concentrated in one kind of arrangement. 22 manufacturers reported payments, led by Nvision Biomedical Technologies, Inc. at 56.2% of the total. Reporting peaked in 2022 at $11,084 and has fallen 87.5% since, to $1,380 in 2025. Among podiatrist clinicians in FL 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 130 payments — averaging $231.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Nvision Biomedical Technologies, Inc.$17K
- Arthrex$5K
- CGG Medical Inc$5K
- Vilex LLC$1K
- Smith+Nephew$575
- Stryker$383
- plus $1K from 16 others
What the payments were for
- Consulting fees$9,00030%
- Travel & lodging$10,01633%
- Food & beverage$5,11417%
- Education$6,00020%
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 |
|---|---|---|
| Nvision Biomedical Technologies, Inc. | 20 | $16,930 |
| Arthrex | 40 | $4,967 |
| CGG Medical Inc | 18 | $4,655 |
| Vilex LLC | 4 | $1,344 |
| Smith+Nephew | 12 | $575 |
| Stryker | 9 | $383 |
| Amgen | 5 | $223 |
| Sanara Medtech Inc. | 4 | $197 |
| Convatec Inc. | 3 | $171 |
| Flower Orthopedics Coporation | 1 | $138 |
| Kerecis Limited | 1 | $126 |
| MVP Orthopedics Inc | 1 | $108 |
| Organogenesis Inc. | 2 | $65 |
| Medline Industries LP | 1 | $51 |
| Trice Medical, Inc. | 1 | $47 |
| Heron Therapeutics, Inc. | 2 | $28 |
| Mimedx Group, Inc. | 1 | $24 |
| Vertex | 1 | $23 |
| Integra Lifesciences Corporation | 1 | $21 |
| Biowound Solutions, Inc. | 1 | $20 |
| Treace Medical Concepts, Inc. | 1 | $20 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
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.
- Foot and Ankle$10,491
- Foot/ankle products$5,177
- REDEMPTION$776
- Lapidus Jig$674
- Trigon$588
- Kerecis Omega3 Marigen$505
- DYNEX$455
- PROPHECY$271
- Bone Anchors with Arthroscopic Delivery System$266
- InnovaMatrix AC$151
- Kerecis Omega3 SurgiClose$126
- KRYSTEXXA$109
How this compares
$30,129 in reported general payments places this provider in the 95th percentile of 588 podiatrist providers in Florida.
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 |
|---|---|---|
| Terbinafine Hcl | 65 | $1,792 |
| Gabapentin | 67 | $837 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 62 | $537 |
| Cephalexin | 65 | $289 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 35 | $261 |
| Pregabalin | 20 | $255 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 38 | $249 |
| Allopurinol | 14 | $235 |
| Methylprednisolone | 18 | $149 |
| Meloxicam | 23 | $88 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Tallahassee
- James CottomSarasota$1.8M
- Caroline KiserFleming Island$206K
- Adam PerlerLargo$160K
- Desmond BellJacksonville$125K
- Jeffrey KarrLakeland$101K
- Marie WilliamsAventura$96K
- Todd BrennanTampa$88K
- Robert HooverLake Mary$71K
- Daniel BrandweinPompano Beach$70K
- John TorregrosaMiami$64K
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.