Michael Gentile
Foot & Ankle Surgery · Huntington, WVNPI 1124087846
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (58.2%), travel and lodging and royalties or licence payments — rather than concentrated in one kind of arrangement. 19 manufacturers reported payments, led by Paragon 28, Inc. at 40.7% of the total. Reporting peaked in 2023 at $44,551 and has fallen 86.9% since, to $5,849 in 2025. Among foot & ankle surgery clinicians in WV 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 133 payments — averaging $770.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$42K
- Tyber Medical, LLC$24K
- Flower Orthopedics Coporation$12K
- Synthes GmbH$9K
- Avitus Orthopaedics, Inc.$3K
- Mid-atlantic Surgical Systems, LLC$3K
- plus $10K from 13 others
Across 2 payments — averaging $3425.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Tyber Medical, LLC$7K
Across 7 payments — averaging $8809.57 each. An ownership or investment interest held by the physician or an immediate family member.
- Tyber Medical, LLC$62K
What the payments were for
- Royalty or licence$11,94212%
- Consulting fees$59,63258%
- Speaking & faculty fees$3,7504%
- Travel & lodging$15,22015%
- Food & beverage$5,7786%
- Education$2,4002%
- Ownership interest$3,7854%
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 |
|---|---|---|
| Paragon 28, Inc. | 22 | $41,728 |
| Tyber Medical, LLC | 10 | $23,665 |
| Flower Orthopedics Coporation | 22 | $12,451 |
| Synthes GmbH | 16 | $9,004 |
| Avitus Orthopaedics, Inc. | 2 | $2,625 |
| Mid-atlantic Surgical Systems, LLC | 4 | $2,551 |
| Stryker(2 entities) | 20 | $2,273 |
| Medical Device Business Services, Inc. | 1 | $1,975 |
| International Life Sciences | 1 | $1,900 |
| Treace Medical Concepts, Inc. | 17 | $1,808 |
| Vilex LLC | 5 | $1,758 |
| Steelhead Surgical Inc | 1 | $114 |
| Johnson & Johnson | 3 | $114 |
| Medtronic | 1 | $105 |
| Medline Industries LP | 1 | $98 |
| Abyrx, Inc | 1 | $87 |
| Crossroads Extremity Systems, LLC | 1 | $87 |
| Orthofix Medical, Inc. | 1 | $84 |
| Pacira Pharmaceuticals Incorporated | 4 | $77 |
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.
- Portfolio$33,043
- Tyber Medical Anatomical Plating System$15,378
- Elongated L-Plate, 4 Holes, (R),$7,117
- MTP Plate, 5 Holes, Right$6,547
- MTP Plate, 5 Holes, Left$6,547
- 1.7mm Elongated L-Plate, 5 Holes, (R),$5,565
- Akin Plate, 2 Holes, use with 1.5mm/2.0mm/2.4mm screws$5,565
- Product Portfolio$4,800
- Tyber Medical Trauma Screw System$3,510
- Cannulated Compression Headless Screw$3,510
- PARATROOPER$3,147
- VA-LCP PLATES & SCREWS$1,975
- CONFORM FLEX$1,975
- FLEXBAND$1,900
- HINTERMANN$1,590
- Lapiplasty System$1,320
- MIS Instrumentation$676
- PROstep$656
- Elongated L-Plate, 5 Holes, (L),$479
- PROPHECY$278
How this compares
$102,507 in reported general payments places this provider in the 95th percentile of 36 foot & ankle surgery providers in West Virginia.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $146 |
| Oxycodone Hcl | 14 | $104 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Huntington
- Kevin BrownHuntington$31K
- James ReaganHuntington$11K
- Zach TankersleyHuntington$93
- Carrie FrameCharleston$99K
- Jana AtikParkersburg$17K
- Kristin SilinskiParkersburg$16K
- Bradley HoffmanPrinceton$14K
- James PipesRipley$12K
- Chinenye EzikeBeckley$11K
- Crystal Dawn BradshawWheeling$8K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.