Keith Myrick
Foot & Ankle Surgery · Louisville, KYNPI 1063402972
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,978 of the $5,853 with a category attached, or 85.0%. It is spread thinly across 24 manufacturers, the largest accounting for just 20.4% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2023 at $1,453 and has fallen 73.9% since, to $379 in 2025.
Across 61 payments — averaging $95.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$1K
- Alpha Orthopedic Systems$640
- Integra Lifesciences Corporation$531
- Trimed, Inc.$524
- Smith+Nephew$338
- Baxter Healthcare$246
- plus $2K from 18 others
What the payments were for
- Speaking & faculty fees$4007%
- Food & beverage$4,97885%
- Education$4768%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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) | 15 | $1,192 |
| Alpha Orthopedic Systems | 3 | $640 |
| Integra Lifesciences Corporation | 4 | $531 |
| Trimed, Inc. | 3 | $524 |
| Smith+Nephew | 8 | $338 |
| Baxter Healthcare | 2 | $246 |
| Bioventus LLC | 2 | $230 |
| Johnson & Johnson | 2 | $207 |
| Misonix Inc | 4 | $205 |
| Convatec Inc. | 2 | $177 |
| Nevro Corp. | 2 | $175 |
| Sanara Medtech Inc. | 1 | $169 |
| Inari Medical, Inc. | 1 | $168 |
| Kerecis Limited | 1 | $146 |
| Medline Industries LP | 1 | $133 |
| Acera Surgical, Inc. | 1 | $126 |
| Organogenesis Inc. | 1 | $119 |
| Paratek Pharmaceuticals, Inc. | 1 | $114 |
| Medshape, Inc. | 1 | $107 |
| Depuy Synthes Products, Inc. | 1 | $89 |
| Zimmer Biomet | 1 | $89 |
| Orthofix Medical, Inc. | 1 | $74 |
| GRT US Holding, Inc. | 2 | $34 |
| Treace Medical Concepts, Inc. | 1 | $18 |
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.
- INTEGRA$908
- Kerecis SurgiClose$585
- INTEGRA DERMAL REGENERATION TEMPLATE$303
- PRIMATRIX$303
- Stravix$255
- No Related Product$246
- AUGMENT INJECTABLE$171
- CellerateRx$169
- FLOWTRIEVER CATHETER, S$168
- CT THROMBECTOMY SYSTEM KIT$168
- ANCHORAGE$165
- ASNIS$165
- ORTHOLOC$150
- Kerecis GraftGuide$146
- Senza$138
- VALOR$134
- INBONE$134
- PROPHECY$134
- ORTHOLOC 3DI$134
- Hyalomatrix Wound Device$133
How this compares
$5,853 in reported general payments places this provider in the 60th percentile of 141 foot & ankle surgery providers in Kentucky.
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 | 19 | $134 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $116 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Louisville
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
- Jonathan TowarnickiLouisville$22K
- Zachary OgdenLouisville$22K
- Eric GustafsonLouisville$20K
- Nicholas VogelsangLouisville$18K
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.