Matthew Truscello
Foot & Ankle Surgery · Clarksville, TNNPI 1437397007
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,108 of the $4,595 with a category attached, or 89.4%. It is spread thinly across 40 manufacturers, the largest accounting for just 12.1% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2022 at $1,100 and has fallen 73.5% since, to $292 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in TN, where the typical reported total is $4,185.
Across 145 payments — averaging $31.69 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$557
- Stryker$548
- Orthofix Medical, Inc.$548
- Rikco International, LLC$432
- Kerecis Limited$373
- Smith+Nephew$264
- plus $2K from 34 others
What the payments were for
- Speaking & faculty fees$822%
- Food & beverage$4,10889%
- Education$4059%
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 |
|---|---|---|
| Organogenesis Inc. | 10 | $557 |
| Stryker(2 entities) | 9 | $548 |
| Orthofix Medical, Inc. | 10 | $548 |
| Rikco International, LLC | 8 | $432 |
| Kerecis Limited | 5 | $373 |
| Smith+Nephew | 13 | $264 |
| Paratek Pharmaceuticals, Inc. | 12 | $218 |
| GRT US Holding, Inc. | 10 | $179 |
| Averitas Pharma Inc. | 6 | $142 |
| Medtronic | 3 | $119 |
| DJO, LLC | 3 | $105 |
| Treace Medical Concepts, Inc. | 4 | $98 |
| Zimmer Biomet | 2 | $82 |
| Abbott | 4 | $78 |
| Amgen | 4 | $69 |
| Urgo Medical North America, LLC | 3 | $67 |
| Crossroads Extremity Systems, LLC | 2 | $66 |
| Alpha Orthopedic Systems | 1 | $52 |
| Sanara Medtech Inc. | 3 | $49 |
| Triad Life Sciences Inc. | 2 | $46 |
| Nevro Corp. | 3 | $45 |
| Johnson & Johnson | 3 | $45 |
| AbbVie(2 entities) | 3 | $42 |
| Paragon 28, Inc. | 2 | $35 |
| Vertex | 1 | $33 |
| Bioventus LLC | 1 | $32 |
| KCI USA, Inc. | 2 | $31 |
| Merck | 2 | $30 |
| Melinta Therapeutics, LLC | 2 | $30 |
| Nabriva Therapeutics, PLC | 2 | $29 |
| Progenacare Global, LLC | 1 | $26 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $18 |
| Arteriocyte Medical Systems, Inc. | 1 | $17 |
| Arthrosurface Incorporated | 1 | $15 |
| Acera Surgical, Inc. | 1 | $14 |
| Solventum Corporation | 1 | $14 |
| Wound Management Technologies, Inc | 1 | $13 |
| Aroa Biosurgery Incorporated | 1 | $13 |
| Advanced Oxygen Therapy Inc. | 1 | $11 |
| Polarityte, Inc. | 1 | $10 |
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
$4,595 in reported general payments places this provider in the 50th percentile of 145 foot & ankle surgery providers in Tennessee.
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 |
|---|---|---|
| Calcipotriene | 12 | $2,828 |
| Terbinafine Hcl | 17 | $258 |
| Methylprednisolone | 19 | $115 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Clarksville
- Douglas HolderClarksville$12K
- Tori BreitenbachClarksville$9K
- Sebastien DemoinyMorristown$210K
- Robert ThompsonMurfreesboro$205K
- Bhekumuzi KhumaloUnion City$201K
- Walter ButlerMemphis$191K
- Chad WebsterCordova$185K
- Christian SmithCordova$153K
- Frank OgnibeneMemphis$148K
- Garnett MurphyGermantown$130K
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.