Nathaniel Gastaldo, DPM
Foot & Ankle Surgery · Leitchfield, KYNPI 1598392664
Payments from drug & device makers
What this record shows
This record is dominated by education: $4,820 of the $6,320 with a category attached, or 76.3%. Legacy Ortho LLC accounts for 76.0% of it on its own, with 20 other manufacturers making up the rest. Reporting peaked in 2022 at $2,781 and has fallen 88.3% since, to $324 in 2025.
Across 37 payments — averaging $170.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Legacy Ortho LLC$5K
- Stryker$319
- Smith+Nephew$310
- Treace Medical Concepts, Inc.$136
- Blue Surgical LLC$127
- Heron Therapeutics, Inc.$122
- plus $506 from 15 others
What the payments were for
- Food & beverage$1,50024%
- Education$4,82076%
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 |
|---|---|---|
| Legacy Ortho LLC | 4 | $4,800 |
| Stryker | 7 | $319 |
| Smith+Nephew | 5 | $310 |
| Treace Medical Concepts, Inc. | 2 | $136 |
| Blue Surgical LLC | 3 | $127 |
| Heron Therapeutics, Inc. | 1 | $122 |
| KCI USA, Inc. | 1 | $100 |
| ETS Wound Care LLC | 1 | $93 |
| Medline Industries LP | 1 | $88 |
| Trice Medical, Inc. | 1 | $28 |
| Kerecis Limited | 1 | $24 |
| Organogenesis Inc. | 1 | $22 |
| Bioventus LLC | 1 | $22 |
| Johnson & Johnson | 1 | $20 |
| BREG, Inc | 1 | $20 |
| Globus Medical | 1 | $19 |
| Paragon 28, Inc. | 1 | $15 |
| Paratek Pharmaceuticals, Inc. | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 1 | $14 |
| Orthofix Medical, Inc. | 1 | $13 |
| Reprise Biomedical, Inc. | 1 | $13 |
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.
- GRAFIX PL$258
- Stravix$258
- ORTHOLOC 2 LAPIFUSE$165
- Zynrelef$122
- Lapiplasty System$118
- PREVENA$100
- V.A.C. ULTA$100
- V.A.C. VERAFLO$100
How this compares
$6,320 in reported general payments places this provider in the 65th 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 13 | $191 |
| Terbinafine Hcl | 24 | $157 |
| Meloxicam | 81 | $118 |
| Methylprednisolone | 11 | $48 |
| Ibuprofen | 12 | $16 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Leitchfield
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Bradford FineLexington$82K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- Russell BakerCarrollton$27K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
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.