Leroy Butler, DO
Foot and Ankle Surgery · Frisco, TXNPI 1528347234
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (54.2%), travel and lodging and education — rather than concentrated in one kind of arrangement. 42 manufacturers reported payments, led by Medical Device Business Services, Inc. at 27.3% of the total. 2025 is the largest year on record at $44,722, 5.5 times the $8,150 reported in 2019. Among foot and ankle surgery clinicians in TX 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 388 payments — averaging $301.40 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$32K
- Johnson & Johnson$16K
- Linvatec Corporation$12K
- Stryker$8K
- Kuros Biosciences USA, Inc$8K
- Pylant Medical$8K
- plus $32K from 36 others
What the payments were for
- Consulting fees$63,32954%
- Travel & lodging$23,19720%
- Food & beverage$15,11713%
- Education$15,26613%
- Entertainment$350%
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.
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.
- BioBrace 23mm$11,383
- HERCULES SUTURE ANCHOR SYSTEM$10,623
- MOTOBAND$8,698
- MagnetOs$7,634
- FLEXBAND$6,620
- DynaNail$2,972
- HINTERMANN$2,676
- Minimally Invasive Bunion Plate, Left$2,352
- INBONE$1,698
- Medical Implant$1,148
- INFINITY$1,022
- NeoSpan$926
- LCP$902
- PROstep$851
- TekBrace Solo$644
- MIS Instrumentation$452
- COLINK AFX$344
- QUANTUM$344
- CITREFIX$226
- INTELLIS ADAPTIVESTIM$185
How this compares
$116,944 in reported general payments places this provider in the 95th percentile of 684 foot and ankle surgery providers in Texas.
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 | 48 | $501 |
| Meloxicam | 46 | $146 |
| Pregabalin | 12 | $144 |
| Cephalexin | 38 | $106 |
| Oxycodone Hcl | 13 | $88 |
| Ciprofloxacin Hcl | 19 | $85 |
| Gabapentin | 12 | $82 |
| Tramadol Hcl | 18 | $80 |
| Methylprednisolone | 14 | $80 |
| Ondansetron Hcl | 25 | $75 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Frisco
- Toritsenere OnosodeFrisco$55K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
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.