Nathan Graves
Foot & Ankle Surgery · Kokomo, INNPI 1942567433
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.1%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 36 manufacturers, the largest accounting for just 19.5%. Reporting peaked in 2019 at $14,597 and has fallen 89.9% since, to $1,475 in 2025. Among foot & ankle surgery clinicians in IN with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 135 payments — averaging $422.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medshape, Inc.$11K
- Osteomed LLC$8K
- Trilliant Surgical LLC.$6K
- Ortho Solutions Inc$6K
- Additive Orthopaedics, LLC$4K
- Arteriocyte Medical Systems, Inc.$3K
- plus $20K from 30 others
Across 4 payments — averaging $14,388 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.
- Skye Orthobiologics LLC$57K
- Tyber Medical, LLC$550
What the payments were for
- Consulting fees$29,18951%
- Speaking & faculty fees$16,80029%
- Grants$2,4004%
- Travel & lodging$3,2936%
- Food & beverage$2,7515%
- Education$2,0004%
- Other$6711%
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. | 18 | $11,115 |
| Osteomed LLC | 5 | $7,500 |
| Trilliant Surgical LLC. | 9 | $6,000 |
| Ortho Solutions Inc | 10 | $5,502 |
| Additive Orthopaedics, LLC | 1 | $3,500 |
| Arteriocyte Medical Systems, Inc. | 2 | $3,200 |
| Novastep Inc. | 3 | $2,763 |
| Encore Medical, LP | 2 | $2,527 |
| Winter Innovations, Inc. | 5 | $2,138 |
| DNE LLC | 1 | $2,000 |
| Acumed LLC | 1 | $2,000 |
| Celularity Inc. | 7 | $1,986 |
| Tenex Health Inc. | 1 | $1,500 |
| Skye Orthobiologics LLC | 1 | $1,500 |
| Integra Lifesciences Corporation | 17 | $1,254 |
| Stryker | 13 | $1,063 |
| Trice Medical, Inc. | 1 | $500 |
| Smith+Nephew | 10 | $215 |
| Carbofix Orthopedics Inc | 1 | $160 |
| Terumo Medical Corporation | 1 | $111 |
| Johnson & Johnson | 4 | $91 |
| Treace Medical Concepts, Inc. | 1 | $89 |
| Tactile Systems Technology Inc | 6 | $81 |
| SPR Therapeutics, Inc | 1 | $57 |
| Flower Orthopedics Coporation | 1 | $37 |
| Avita Medical Americas, LLC | 2 | $31 |
| DJO, LLC | 1 | $27 |
| Summ Cott Medical | 1 | $24 |
| Bioventus LLC | 1 | $21 |
| Medtronic | 1 | $20 |
| Medline Industries LP | 1 | $18 |
| Merck | 1 | $17 |
| Heron Therapeutics, Inc. | 1 | $16 |
| Paragon 28, Inc. | 2 | $16 |
| Kerecis Limited | 1 | $15 |
| Alafair Biosciences, Inc. | 1 | $11 |
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.
- EXT-Staple$7,500
- DynaNail Helix, Washer, 15 mm$5,525
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$4,038
- DynaNail$4,038
- Tiger Cannulated Screw$3,000
- EXT-InterPhlex$3,000
- EXT-Cannulated$3,000
- EXT-Extremilock Foot$3,000
- EXT-ExtremiLock Ankle$3,000
- NEXIS$2,763
- AIRLOCK CENTROLOCK$2,763
- DJO Surgical STAR Ankle$2,500
- Arsenal$2,000
- Ankle Plating System$2,000
- Calcaneal Plating System$2,000
- Forefoot/Midfoot Plating System$2,000
- Biovance$1,926
- Interfyl$1,926
- EXT-Extremifuse$1,500
- EXT-FPS$1,500
How this compares
$57,104 in reported general payments places this provider in the 90th percentile of 212 foot & ankle surgery providers in Indiana.
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 |
|---|---|---|
| Ketoconazole | 71 | $1,335 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 100 | $579 |
| Ammonium Lactate | 18 | $386 |
| Mupirocin | 45 | $315 |
| Terbinafine Hcl | 17 | $292 |
| Cephalexin | 25 | $274 |
| Gabapentin | 36 | $224 |
| Meloxicam | 103 | $223 |
| Doxycycline Hyclate | 20 | $205 |
| Methylprednisolone | 33 | $194 |
| Clindamycin Hcl | 17 | $178 |
| Allopurinol | 32 | $98 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $78 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Kokomo
- Douglas BlacklidgeKokomo$689K
- Elizabeth ChanKokomo$17K
- Steven HerbstMuncie$1.6M
- Patrick DeheerIndianapolis$493K
- Scott NevilleMooresville$353K
- Travis MontgomeryWestfield$345K
- Robert Clemency IiiSchererville$215K
- William AdamsGreenfield$178K
- Steven DouthettFort Wayne$153K
- Christopher WintersCarmel$152K
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.