Keith Jacobson, DPM
Foot & Ankle Surgery · Denver, CONPI 1336121243
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.8%), royalties or licence payments and education — rather than concentrated in one kind of arrangement. 16 manufacturers reported payments, led by Zimmer Biomet at 34.5% of the total. Reporting peaked in 2022 at $51,992 and has fallen 82.4% since, to $9,168 in 2025. Among foot & 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 194 payments — averaging $1240.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Zimmer Biomet$83K
- Nextremity Solutions Inc.$50K
- Medartis Inc.$44K
- Restor3d, Inc.$27K
- Tyber Medical, LLC$24K
- Auxano Medical LLC$11K
- plus $2K from 10 others
What the payments were for
- Royalty or licence$101,15142%
- Consulting fees$107,95445%
- Travel & lodging$8,6004%
- Food & beverage$4,8792%
- Education$18,1358%
- Gifts$60%
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 |
|---|---|---|
| Zimmer Biomet | 118 | $82,994 |
| Nextremity Solutions Inc. | 10 | $49,545 |
| Medartis Inc. | 15 | $43,585 |
| Restor3d, Inc. | 18 | $27,284 |
| Tyber Medical, LLC | 4 | $23,903 |
| Auxano Medical LLC | 5 | $11,183 |
| Trice Medical, Inc. | 8 | $1,068 |
| Stryker | 3 | $305 |
| Responsive Arthroscopy Inc | 2 | $274 |
| Medline Industries LP | 3 | $171 |
| Treace Medical Concepts, Inc. | 2 | $156 |
| Acumed LLC | 1 | $113 |
| Paragon 28, Inc. | 2 | $69 |
| Bone Support Inc. | 1 | $43 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Trilliant Surgical LLC. | 1 | $14 |
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.
- APTUS$43,585
- Tyber Medical Anatomical Plating System$23,903
- ALPS Plating System$23,903
- Stratum Foot Plating System$20,002
- Juggerknot$19,313
- InCore Lapidus$15,202
- Lapidus Plate$11,250
- INTREPED, INTRAOSSEOUS FUSION DEVICE$11,158
- Alps Plates and Instruments$9,975
- Dermaspan$9,750
- Amnio Repair$9,750
- Hammertoe$9,563
- Nextremity Nextra Hammertoe$7,375
- Juggerknot-Foot & Ankle$5,750
- Trabecular Metal (TM) Ankle$3,000
- CANNULATED SCREWS$670
- Nextremity MSP$375
- Subchondroplasty$375
- Responsive Arthroscopy Devices$237
- ALPHAVENT$188
How this compares
$240,725 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 36 | $292 |
| Ondansetron OdtOndansetron | 36 | $202 |
| Methylprednisolone | 26 | $180 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Denver
- Kevin NagamaniDenver$288K
- Stephen WallaceDenver$33K
- Marissa JamiesonDenver$30K
- Matthew GorskiDenver$14K
- Eric JaakolaDenver$14K
- Olivera JovicDenver$10K
- Lauren MolchanDenver$10K
- Emma KayalDenver$8K
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
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.