Lea Gunnell, MD
Foot and Ankle Surgery · West Des Moines, IANPI 1629363734
Payments from drug & device makers
Across 39 payments — averaging $61.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$920
- Johnson & Johnson$599
- Medical Device Business Services, Inc.$465
- Stryker$234
- Pacira Therapeutics, Inc.$68
- Atricure, Inc.$26
- plus $73 from 4 others
What the payments were for
- Consulting fees$46519%
- Speaking & faculty fees$141%
- Travel & lodging$66428%
- Food & beverage$1,15749%
- Education$854%
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 |
|---|---|---|
| Smith+Nephew | 5 | $920 |
| Johnson & Johnson | 20 | $599 |
| Medical Device Business Services, Inc. | 1 | $465 |
| Stryker | 4 | $234 |
| Pacira Therapeutics, Inc. | 4 | $68 |
| Atricure, Inc. | 1 | $26 |
| Merck | 1 | $25 |
| Vertex | 1 | $17 |
| Bioventus LLC | 1 | $16 |
| Portola Pharmaceuticals, LLC | 1 | $15 |
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.
- Taylor Spatial Frame$811
- PROPHECY$177
- NA$137
How this compares
$2,385 in reported general payments places this provider in the 45th percentile of 112 foot and ankle surgery providers in Iowa.
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 |
|---|---|---|
| Oxycodone Hcl | 13 | $74 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in West Des Moines
- Michael LeeDes Moines$2.1M
- Phinit PhisitkulSioux City$1.4M
- Sean GrambartDes Moines$590K
- Kelsey MillonigDes Moines$383K
- Charles CibulaCedar Falls$38K
- Gregory FooteWaterloo$35K
- Nathan ShumwayCouncil Bluffs$33K
- Justin RaatzDes Moines$28K
- Mica MurdochDes Moines$27K
- Tuvi MendelDavenport$26K
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.