Nathan Young, DPM
Foot & Ankle Surgery · Roanoke, VANPI 1841425600
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.5% of the total across 53 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. Musculoskeletal Transplant Foundation Inc. accounts for 60.7% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2020 at $5,850 and has fallen 95.8% since, to $247 in 2025.
Across 53 payments — averaging $166.45 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Musculoskeletal Transplant Foundation Inc.$5K
- Johnson & Johnson$1K
- Stryker$1K
- Polarityte, Inc.$160
- Nevro Corp.$149
- Kerecis Limited$99
- plus $433 from 11 others
Across 16 payments — averaging $2781.54 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.
- Polarityte, Inc.$29K
- Ipsen Innovation$15K
What the payments were for
- Food & beverage$8,782100%
- Entertainment$400%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Musculoskeletal Transplant Foundation Inc. | 4 | $5,354 |
| Johnson & Johnson | 16 | $1,368 |
| Stryker | 13 | $1,260 |
| Polarityte, Inc. | 1 | $160 |
| Nevro Corp. | 1 | $149 |
| Kerecis Limited | 2 | $99 |
| Zimmer Biomet | 2 | $89 |
| Medtronic | 3 | $86 |
| Abbott | 1 | $55 |
| Biocomposites Inc | 2 | $44 |
| Integra Lifesciences Corporation | 2 | $37 |
| Amgen | 1 | $24 |
| IBSA Pharma Inc. | 1 | $24 |
| TEI Medical Inc. | 1 | $21 |
| Smith+Nephew | 1 | $20 |
| Lifenet Health | 1 | $19 |
| Pfizer | 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.
- ALLOGRAFT$780
- NA$432
- MOTOBAND$425
- FIBERGRAFT Aeridyan Matrix$400
- Vivigen MIS Delivery System$284
- HAMMERLOCK$235
- VARIAX$152
- Omnia$149
- MINIBUNION$144
- N/A$133
- VA-LCP$121
- Fibulink$114
How this compares
$8,822 in reported general payments places this provider in the 70th percentile of 260 foot & ankle surgery providers in 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 |
|---|---|---|
| Gabapentin | 94 | $2,107 |
| Pregabalin | 86 | $1,840 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 70 | $787 |
| Doxycycline Hyclate | 62 | $723 |
| Ammonium Lactate | 22 | $675 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 47 | $383 |
| Ciprofloxacin Hcl | 32 | $375 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 14 | $296 |
| Terbinafine Hcl | 17 | $180 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $166 |
| Duloxetine Hcl | 14 | $157 |
| Clindamycin Hcl | 11 | $152 |
| Ondansetron OdtOndansetron | 11 | $147 |
| Meloxicam | 78 | $135 |
| Levofloxacin | 11 | $99 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Roanoke
- Charles ZelenRoanoke$363K
- Wesley LeongRoanoke$23K
- Jennifer WentzRoanoke$12K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
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.