Michael Houghton
Foot and Ankle Surgery · Fort Collins, CONPI 1013990373
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (59.2%), ownership interests and consulting fees — rather than concentrated in one kind of arrangement. Every reported general payment came from a single manufacturer, Paragon 28, Inc.. Reporting peaked in 2020 at $931,300 and has fallen 95.0% since, to $46,188 in 2025. Among foot and ankle surgery clinicians in CO 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 $15,140 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$2M
Across 4 payments — averaging $1128.50 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.
- Stryker$5K
What the payments were for
- Royalty or licence$1,192,22759%
- Consulting fees$170,9848%
- Travel & lodging$11,2021%
- Food & beverage$3,5850%
- Education$1200%
- Ownership interest$635,54732%
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. | 133 | $2,013,664 |
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.
- Product Portfolio$438,329
- Portfolio$314,127
- APEX 3D$8,260
- MONKEY RINGS$1,176
- APEX$509
How this compares
$2,013,664 in reported general payments places this provider in the 95th percentile of 181 foot and ankle surgery providers in Colorado.
Other foot and ankle surgery in Fort Collins
- Jeffrey LehrmanFort Collins$628K
- Joseph LynottFort Collins$29K
- Charlene DennemeyerFort Collins$15K
- Stephen WilkinsonFort Collins$9K
- Joshua MetzlEnglewood$1.8M
- Brad DresherColorado Springs$1.3M
- Thomas ClantonVail$1.1M
- Brett SachsWheat Ridge$806K
- Kevin NagamaniDenver$288K
- Keith JacobsonDenver$241K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.