Michelle Hurless, DPM
Foot & Ankle Surgery · Lexington, KYNPI 1851828594
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (41.4%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by Pylant Medical at 43.4% of the total. Reporting peaked in 2019 at $5,177 and has fallen 88.4% since, to $599 in 2025.
Across 146 payments — averaging $95.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$6K
- Stryker$4K
- Medical Device Business Services, Inc.$917
- Treace Medical Concepts, Inc.$598
- Integra Lifesciences Corporation$484
- Smith+Nephew$413
- plus $1K from 18 others
What the payments were for
- Grants$3853%
- Travel & lodging$2,95321%
- Food & beverage$4,87435%
- Education$5,79841%
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 |
|---|---|---|
| Pylant Medical | 8 | $6,082 |
| Stryker | 54 | $4,225 |
| Medical Device Business Services, Inc. | 6 | $917 |
| Treace Medical Concepts, Inc. | 8 | $598 |
| Integra Lifesciences Corporation | 12 | $484 |
| Smith+Nephew | 22 | $413 |
| Alafair Biosciences, Inc. | 2 | $177 |
| Nevro Corp. | 4 | $156 |
| Kerecis Limited | 3 | $133 |
| Organogenesis Inc. | 1 | $125 |
| Bioventus LLC | 6 | $113 |
| Paratek Pharmaceuticals, Inc. | 6 | $112 |
| Boston Scientific | 2 | $106 |
| Tactile Systems Technology Inc | 1 | $92 |
| Aroa Biosurgery Incorporated | 2 | $70 |
| Nvision Biomedical Technologies, Inc. | 1 | $56 |
| Johnson & Johnson | 1 | $25 |
| Lexicon Pharmaceuticals, Inc. | 1 | $25 |
| AbbVie | 1 | $24 |
| KCI USA, Inc. | 1 | $20 |
| Reprise Biomedical, Inc. | 1 | $20 |
| Amgen | 1 | $19 |
| Triad Life Sciences Inc. | 1 | $17 |
| Microaire Surgical Instruments LLC | 1 | $3 |
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.
- NONE$1,079
- HOFFMANN$1,039
- INTEGRA$541
- Lapiplasty System$400
- ORTHOLOC 2 LAPIFUSE$240
- PROPHECY$232
- INBONE$207
- Actishield$150
- AUGMENT INJECTABLE$141
- INTEGRA DERMAL REGENERATION TEMPLATE$140
- PRIMATRIX$140
- PuraPly$125
- VersaWrap$114
- EASYFUSE$107
- INFINITY$101
How this compares
$14,010 in reported general payments places this provider in the 85th percentile of 141 foot & ankle surgery providers in Kentucky.
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 |
|---|---|---|
| Gentamicin Sulfate | 15 | $641 |
| Doxycycline Hyclate | 36 | $249 |
| Ciprofloxacin Hcl | 16 | $124 |
| Prednisone | 13 | $80 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $63 |
| Meloxicam | 27 | $37 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Lexington
- Bradford FineLexington$82K
- Jeremy KalmaLexington$23K
- Benjamin SchneiderLexington$9K
- Victoria SainLexington$6K
- Ali AhmedLexington$4K
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
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.