Kenneth Unger, DPM
Foot & Ankle Surgery · Birmingham, ALNPI 1558918748
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (54.5%), travel and lodging and entertainment — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Paragon 28, Inc. at 47.4% of the total. Reporting peaked in 2023 at $1,472 and has fallen 73.0% since, to $398 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in AL, where the typical reported total is $4,589.
Across 39 payments — averaging $101.97 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$2K
- Musculoskeletal Transplant Foundation Inc.$1K
- Avita Medical Americas, LLC$215
- Acera Surgical, Inc.$161
- W. L. Gore & Associates, Inc.$114
- Next Science LLC$102
- plus $370 from 12 others
What the payments were for
- Travel & lodging$1,72243%
- Food & beverage$2,16855%
- Entertainment$872%
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 |
|---|---|---|
| Paragon 28, Inc. | 9 | $1,884 |
| Musculoskeletal Transplant Foundation Inc. | 11 | $1,131 |
| Avita Medical Americas, LLC | 3 | $215 |
| Acera Surgical, Inc. | 1 | $161 |
| W. L. Gore & Associates, Inc. | 1 | $114 |
| Next Science LLC | 1 | $102 |
| Zimmer Biomet | 1 | $73 |
| Stryker | 1 | $64 |
| Johnson & Johnson | 1 | $41 |
| Kerecis Limited | 2 | $41 |
| Janssen Scientific Affairs, LLC | 1 | $32 |
| Solventum Corporation | 1 | $21 |
| Bsn Medical Inc | 1 | $19 |
| Polymedics Innovations Inc. | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $17 |
| Bioventus LLC | 1 | $15 |
| KCI USA, Inc. | 1 | $15 |
| Cook Medical 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.
- MONKEY RINGS$906
- Portfolio$634
- Restrata Wound Matrix$161
- RECELL$150
- PERMEADERM$150
- Cohealyx$150
- PARATROOPER$120
- GORE EXCLUDER AAA Endoprosthesis$114
- SurgX$102
How this compares
$3,977 in reported general payments places this provider in the 40th percentile of 40 foot & ankle surgery providers in Alabama.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 19 | $469 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 17 | $119 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Birmingham
- Norman WaldropBirmingham$3.6M
- Ashish ShahBirmingham$28K
- Swapnil SinghBirmingham$14K
- Adam LukasiewiczBirmingham$10K
- Mary GilmerBirmingham$8K
- Danalynn GuasteferroBirmingham$5K
- Francisco CaycedoBirmingham$3K
- Ronald AgeeBirmingham$2K
- Justin DaigreDecatur$372K
- John KirchnerHoover$84K
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.