Naohiro Shibuya, DPM
Foot & Ankle Surgery · Harlingen, TXNPI 1518976547
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.3%), other and speaking fees — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Medshape, Inc. at 59.6% of the total. Reporting peaked in 2021 at $77,890 and has fallen 67.2% since, to $25,583 in 2025. 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 139 payments — averaging $1330.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medshape, Inc.$110K
- International Life Sciences$25K
- Gramercy Extremity Orthopedics LLC$11K
- Encore Medical, LP$11K
- Synthes GmbH$10K
- Trilliant Surgical LLC.$8K
- plus $10K from 11 others
Across 1 payment — averaging $1250.00 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.
- Metric Medical Devices, Inc.$1K
Across 7 payments — averaging $7142.86 each. An ownership or investment interest held by the physician or an immediate family member.
- Gramercy Extremity Orthopedics LLC$50K
What the payments were for
- Royalty or licence$10,9486%
- Consulting fees$81,95344%
- Speaking & faculty fees$14,7438%
- Travel & lodging$14,5698%
- Food & beverage$2,5891%
- Other$60,07732%
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 |
|---|---|---|
| Medshape, Inc. | 41 | $110,231 |
| International Life Sciences | 9 | $25,207 |
| Gramercy Extremity Orthopedics LLC | 41 | $11,083 |
| Encore Medical, LP | 1 | $10,743 |
| Synthes GmbH | 18 | $10,138 |
| Trilliant Surgical LLC. | 13 | $7,638 |
| Medartis Inc. | 4 | $7,338 |
| Bone Support Inc. | 3 | $1,271 |
| Metric Medical Devices, Inc. | 1 | $750 |
| Avitus Orthopaedics, Inc. | 1 | $151 |
| Ortho Solutions Inc | 1 | $110 |
| Restor3d, Inc. | 1 | $75 |
| Smith+Nephew | 1 | $52 |
| Treace Medical Concepts, Inc. | 1 | $26 |
| Averitas Pharma Inc. | 1 | $25 |
| Integra Lifesciences Corporation | 1 | $22 |
| Johnson & Johnson | 1 | $19 |
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.
- DynaNail$36,772
- FLEXBAND$24,199
- DynaNail Helix, Washer, 15 mm$23,125
- DJO Surgical STAR Ankle$10,743
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$9,718
- APTUS$7,338
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$6,744
- DynaNail Hybrid$6,098
- DynaNail Mini$5,873
- CERAMENTBONE VOID FILLER$1,250
- LINK$750
- Arsenal Sinus Support Plate$320
How this compares
$184,879 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $105 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Harlingen
- 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
- Michael DowneySouthlake$475K
- Abdul NurudeenHouston$404K
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.