Joshua Thun
Foot & Ankle Surgery · Grand Junction, CONPI 1518380872
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $108,188 of the $126,215 with a category attached, or 85.7%. Treace Medical Concepts, Inc. accounts for 97.0% of it on its own, with 16 other manufacturers making up the rest. 2025 is the largest year on record at $61,947, more than ten times the $338 reported in 2019. Among foot & ankle surgery clinicians in CO 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 145 payments — averaging $870.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$122K
- Gemini Mountain Medical, LLC$1K
- Arthrex$1K
- Stryker$281
- Celularity Inc.$262
- Kerecis Limited$222
- plus $463 from 11 others
Across 8 payments — averaging $848.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Treace Medical Concepts, Inc.$7K
What the payments were for
- Consulting fees$108,18886%
- Travel & lodging$13,12210%
- Food & beverage$3,7063%
- Education$1,2001%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 114 | $122,455 |
| Gemini Mountain Medical, LLC | 5 | $1,309 |
| Arthrex | 2 | $1,224 |
| Stryker | 5 | $281 |
| Celularity Inc. | 2 | $262 |
| Kerecis Limited | 4 | $222 |
| Medshape, Inc. | 1 | $193 |
| Alliance Medical | 1 | $72 |
| Bioventus LLC | 2 | $51 |
| Smith+Nephew | 2 | $32 |
| Pacira Pharmaceuticals Incorporated | 1 | $29 |
| Solventum Corporation | 1 | $18 |
| Sanofi-aventis U.S. LLC | 1 | $17 |
| Reddress USA, Inc. | 1 | $14 |
| Merck | 1 | $14 |
| Misonix Inc | 1 | $12 |
| Lifenet Health | 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.
- Lapiplasty System$60,079
- LAPIPLASTY SYSTEM 1$57,427
- Lapiplasty$2,342
- Kerecis SurgiClose$520
- TMC SPEEDTMT$221
- DynaNail Helix, Washer, 15 mm$193
- TRAUMA$150
- Biovance$137
- Interfyl$137
- Kerecis GraftGuide$130
- TMC PSI CUT GUIDE SYSTEM$121
How this compares
$126,215 in reported general payments places this provider in the 90th percentile of 181 foot & 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 |
|---|---|---|
| Doxycycline Hyclate | 12 | $161 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $69 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Grand Junction
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
- 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.