Michael Hurst, DPM
Foot & Ankle Surgery · Elkins, WVNPI 1598320608
Payments from drug & device makers
What this record shows
This record is dominated by education: $3,600 of the $4,117 with a category attached, or 87.5%. Mid-atlantic Surgical Systems, LLC accounts for 88.4% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2022 at $2,571 and has fallen 95.5% since, to $115 in 2025.
Across 22 payments — averaging $187.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mid-atlantic Surgical Systems, LLC$4K
- Smith+Nephew$196
- Stryker$149
- Organogenesis Inc.$98
- Paratek Pharmaceuticals, Inc.$17
- Kerecis Limited$16
What the payments were for
- Food & beverage$51713%
- Education$3,60087%
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 |
|---|---|---|
| Mid-atlantic Surgical Systems, LLC | 7 | $3,640 |
| Smith+Nephew | 10 | $196 |
| Stryker | 2 | $149 |
| Organogenesis Inc. | 1 | $98 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| Kerecis Limited | 1 | $16 |
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.
- INFINITY$148
How this compares
$4,117 in reported general payments places this provider in the 65th percentile of 36 foot & ankle surgery providers in West Virginia.
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 |
|---|---|---|
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 42 | $399 |
| Doxycycline Hyclate | 43 | $340 |
| Oxycodone Hcl | 37 | $188 |
| CefuroximeCefuroxime Axetil | 11 | $164 |
| Meloxicam | 53 | $161 |
| Terbinafine Hcl | 13 | $130 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Elkins
- Hannah HughesElkins$3K
- Michael GentileHuntington$103K
- Carrie FrameCharleston$99K
- Kevin BrownHuntington$31K
- Jana AtikParkersburg$17K
- Kristin SilinskiParkersburg$16K
- Bradley HoffmanPrinceton$14K
- James PipesRipley$12K
- Chinenye EzikeBeckley$11K
- James ReaganHuntington$11K
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.