Nathan Lesueur, DPM
Foot & Ankle Surgery · Madisonville, KYNPI 1962082040
Payments from drug & device makers
Across 27 payments — averaging $64.57 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$965
- Organogenesis Inc.$149
- Globus Medical$141
- Polynovo North America LLC$137
- Treace Medical Concepts, Inc.$85
- W. L. Gore & Associates, Inc.$66
- plus $200 from 7 others
What the payments were for
- Travel & lodging$85749%
- Food & beverage$86950%
- Charitable contribution$171%
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 |
|---|---|---|
| Stryker | 4 | $965 |
| Organogenesis Inc. | 3 | $149 |
| Globus Medical | 7 | $141 |
| Polynovo North America LLC | 1 | $137 |
| Treace Medical Concepts, Inc. | 2 | $85 |
| W. L. Gore & Associates, Inc. | 1 | $66 |
| Avanos Medical | 1 | $44 |
| Averitas Pharma Inc. | 2 | $40 |
| Paratek Pharmaceuticals, Inc. | 2 | $38 |
| Bioventus LLC | 1 | $24 |
| Otsuka America Pharmaceutical, Inc. | 1 | $23 |
| Fusion Orthopedics USA, LLC | 1 | $17 |
| Smith+Nephew | 1 | $15 |
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.
- PROstep$857
- Novosorb BTM$137
How this compares
$1,743 in reported general payments places this provider in the 35th 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 |
|---|---|---|
| Methylprednisolone | 15 | $101 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Madisonville
- Walker EstesMadisonville$14K
- Quinn SchroederMadisonville$11K
- Michael JohnsonMadisonville$6K
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Bradford FineLexington$82K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- Russell BakerCarrollton$27K
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.