Michael Downey
Foot & Ankle Surgery · Southlake, TXNPI 1932467396
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $297,219 of the $474,949 with a category attached, or 62.6%. Arthrex accounts for 86.8% of it on its own, with 26 other manufacturers making up the rest. Among foot & 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 812 payments — averaging $584.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$412K
- Orthofix Medical, Inc.$37K
- Stryker$10K
- Anika Therapeutics, Inc.$7K
- Pylant Medical$5K
- Arthrosurface Incorporated$2K
- plus $3K from 21 others
What the payments were for
- Royalty or licence$6,1741%
- Consulting fees$114,63524%
- Speaking & faculty fees$297,21963%
- Travel & lodging$36,4778%
- Food & beverage$14,5383%
- Education$5,9061%
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 |
|---|---|---|
| Arthrex | 556 | $412,031 |
| Orthofix Medical, Inc. | 48 | $37,484 |
| Stryker(2 entities) | 66 | $9,999 |
| Anika Therapeutics, Inc. | 28 | $6,559 |
| Pylant Medical | 54 | $4,697 |
| Arthrosurface Incorporated | 17 | $1,512 |
| Medline Industries LP | 5 | $545 |
| Nevro Corp. | 6 | $390 |
| Kerecis Limited | 3 | $306 |
| Smith+Nephew | 7 | $282 |
| Fortis Surgical, LLC | 1 | $172 |
| Crossroads Orthopedics, LLC | 1 | $144 |
| Smoky Mountain Surgical LLC | 3 | $134 |
| Polynovo North America LLC | 1 | $109 |
| Integra Lifesciences Corporation | 4 | $96 |
| Nuvasive Specialized Orthopedics, Inc. | 1 | $94 |
| Parcus Medical, LLC | 1 | $85 |
| Medtronic | 1 | $78 |
| Medinc Of Texas | 1 | $58 |
| Eclipse Technology Solutions Inc. | 1 | $54 |
| Paratek Pharmaceuticals, Inc. | 1 | $24 |
| Heron Therapeutics, Inc. | 1 | $21 |
| Amgen | 1 | $18 |
| Peerless Surgical Inc. | 1 | $16 |
| Elite Orthopedics, LLC | 1 | $14 |
| Johnson & Johnson | 1 | $14 |
| Dynasplint Systems Inc. | 1 | $13 |
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.
- OSCAR3$15,794
- Prefix 2$14,350
- XCaliber Articulated Ankle Fixator$13,514
- XCaliber Meta-Diaphyseal Fixator$13,329
- PORD Device$13,300
- XCaliber Hybrid Fixator$12,979
- Centronail Titanium Supracondylar and Retrograde Nail$12,600
- Pennig Minifixator$10,413
- Pertrochanteric Fixator$9,800
- Veronail Titanium Trochanteric Nail$8,050
- AUGMENT$7,207
- XWires$5,629
- GALAXY Fixation$5,052
- M2 Multiplanar MiniRail$4,950
- Galaxy UNYCO$4,950
- Fragment Fixation System (FFS)$4,950
- Flexible Reamers$4,950
- GlenoJet$4,774
- Elbow Fixator$4,550
- Small DAF$4,550
How this compares
$474,949 in reported general payments places this provider in the 95th percentile of 684 foot & 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 83 | $926 |
| Cephalexin | 61 | $801 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $443 |
| Cyclobenzaprine Hcl | 104 | $389 |
| Clindamycin Hcl | 24 | $234 |
| Promethazine Hcl | 44 | $190 |
| Gabapentin | 19 | $59 |
| Tramadol Hcl | 14 | $43 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Southlake
- 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
- Abdul NurudeenHouston$404K
- Vinod PanchbhaviGalveston$389K
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.