Has Lara Atwater, MD received payments from drug or device companies?

Yes. Drug and device makers reported $10,114 in general payments to Lara Atwater, MD across 47 transactions between 2019–2025. Most Open Payments records nationally are meals worth under $20; a reported payment is not evidence of wrongdoing.

Does a payment mean Lara Atwater, MD did something wrong?

No. Federal law requires drug and device makers to report almost every transfer of value to a physician, including a $14 sandwich at a lunch presentation. Consulting fees, research funding and royalties to device inventors are ordinary, legal parts of medicine. This site reports what was disclosed; it makes no allegation.

Where does this information about Lara Atwater, MD come from?

The U.S. Centers for Medicare & Medicaid Services. Payments come from Open Payments, published under the Physician Payments Sunshine Act. Billing and prescribing figures come from the Medicare Physician & Other Practitioners and Part D Prescriber public use files for 2024.

Lara Atwater, MD

Foot and Ankle Surgery · Portland, ORNPI 1366718116

Payments from drug & device makers

What this record shows

This record is dominated by education: $6,131 of the $10,114 with a category attached, or 60.6%. 6 manufacturers reported payments, led by Supreme Orthopedic Systems, LLC at 41.8% of the total. Reporting peaked in 2019 at $4,519 and has fallen 96.8% since, to $143 in 2025.

$10,114in general payments, 2019–2025

Across 47 payments — averaging $215.19 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

Supreme Orthopedic Systems, LLC$4K
Stryker$2K
Arthrex$2K
Steelhead Surgical Inc$671
Smith+Nephew$526
Paragon 28, Inc.$183

What the payments were for

Travel & lodging$1,72017%
Food & beverage$2,26322%
Education$6,13161%

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
Supreme Orthopedic Systems, LLC	1	$4,228
Stryker(2 entities)	25	$2,473
Arthrex	11	$2,032
Steelhead Surgical Inc	3	$671
Smith+Nephew	5	$526
Paragon 28, Inc.	2	$183

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.

How this compares

$10,114 in reported general payments places this provider in the 80th percentile of 113 foot and ankle surgery providers in Oregon.

See all foot and ankle surgery providers in Oregon →

Medicare billing

Part B allowed, 2024

$41,851

Medicare patients

130

Services billed

313

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.

Other foot and ankle surgery in Portland

Natalie MesnierPortland$339K
Scott BoyntonPortland$120K
Andrew ShinabargerPortland$85K
Kevin DriscollPortland$21K
John MassoudPortland$14K
Kenneth HegewaldPortland$11K
Steven LaxsonPortland$11K
Denny lePortland$9K
Andrew HuPortland$7K
Paul JonesPortland$5K

See the full list for Oregon →

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.

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