Joshua Vest
Foot & Ankle Surgery · Lincoln, NENPI 1235461294
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.0%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 95.5% of it on its own, with 29 other manufacturers making up the rest. Reporting peaked in 2023 at $13,343 and has fallen 98.1% since, to $258 in 2025.
Across 143 payments — averaging $283.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$39K
- Musculoskeletal Transplant Foundation Inc.$284
- Treace Medical Concepts, Inc.$256
- DJO, LLC$159
- Nevro Corp.$137
- Orthofix Medical, Inc.$113
- plus $888 from 24 others
Across 11 payments — averaging $119.00 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.
- Stryker$1K
What the payments were for
- Consulting fees$20,65051%
- Speaking & faculty fees$9,60424%
- Travel & lodging$5,33813%
- Food & beverage$4,90512%
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(2 entities) | 80 | $38,661 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $284 |
| Treace Medical Concepts, Inc. | 6 | $256 |
| DJO, LLC | 7 | $159 |
| Nevro Corp. | 5 | $137 |
| Orthofix Medical, Inc. | 4 | $113 |
| Smith+Nephew | 5 | $109 |
| Pacira Pharmaceuticals Incorporated | 2 | $66 |
| Heron Therapeutics, Inc. | 3 | $57 |
| In2bones USA, LLC | 1 | $55 |
| Kerecis Limited | 3 | $52 |
| Polarityte, Inc. | 1 | $52 |
| Paratek Pharmaceuticals, Inc. | 3 | $49 |
| Bioventus LLC | 2 | $45 |
| Abbott | 2 | $41 |
| Polynovo North America LLC | 2 | $39 |
| Johnson & Johnson | 1 | $38 |
| Conetic Solutions, Inc. | 2 | $36 |
| Linvatec Corporation | 1 | $33 |
| Access Pro Medical, LLC | 1 | $30 |
| KCI USA, Inc. | 2 | $30 |
| Arthrosurface Incorporated | 1 | $26 |
| Baudax Bio Inc. | 1 | $23 |
| Convatec Inc. | 1 | $21 |
| Organogenesis Inc. | 1 | $21 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $20 |
| Nalu Medical, Inc. | 1 | $13 |
| Integra Lifesciences Corporation | 1 | $12 |
| Melinta Therapeutics, LLC | 1 | $11 |
| Paragon 28, Inc. | 1 | $9 |
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.
- ORTHOLOC 2 LAPIFUSE$18,067
- R&D Foot and Ankle$8,729
- T2$7,175
- ORTHOLOC 3DI CROSSCHECK$7,175
- AUGMENT INJECTABLE$5,782
- INFINITY$3,991
- INBONE$3,991
- ORTHOLOC$1,400
- ORTHOLOC 3DI$1,332
- PROstep$1,156
- STAR$483
- CARTIVA SYNTHETIC CARTILAGE IMPLANT$350
- CHARLOTTE$350
- GRAFTJACKET$350
- DART-FIRE$350
- DARCO$350
- AXSOS$350
- VARIAX$350
- ANCHORAGE$257
- ADAPT$238
How this compares
$40,497 in reported general payments places this provider in the 85th percentile of 43 foot & ankle surgery providers in Nebraska.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $258 |
| Meloxicam | 15 | $76 |
| Methylprednisolone | 13 | $72 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Lincoln
- Eric SoLincoln$94K
- Matthew WilliamsonLincoln$22K
- James GallentineLincoln$15K
- Jeffrey WienkeLincoln$11K
- Kara Krejci ReedLincoln$6K
- Tanner DodsonLincoln$6K
- Jason WeberLincoln$4K
- Derek MillerLincoln$3K
- John TennityLincoln$2K
- Scott SwansonLincoln$335
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.