Nathaniel Winters, DPM
Foot & Ankle Surgery · Louisville, KYNPI 1992239214
Payments from drug & device makers
Across 19 payments — averaging $186.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alpha Orthopedic Systems$2K
- Orthofix Medical, Inc.$902
- Stryker$100
- Smith+Nephew$50
- Organogenesis Inc.$39
- Mimedx Group, Inc.$27
- plus $12 from 1 others
What the payments were for
- Travel & lodging$79322%
- Food & beverage$34510%
- Education$2,40068%
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 |
|---|---|---|
| Alpha Orthopedic Systems | 3 | $2,407 |
| Orthofix Medical, Inc. | 5 | $902 |
| Stryker | 4 | $100 |
| Smith+Nephew | 3 | $50 |
| Organogenesis Inc. | 2 | $39 |
| Mimedx Group, Inc. | 1 | $27 |
| Treace Medical Concepts, Inc. | 1 | $12 |
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.
How this compares
$3,538 in reported general payments places this provider in the 50th 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 |
|---|---|---|
| Gabapentin | 99 | $1,235 |
| Terbinafine Hcl | 95 | $1,103 |
| Duloxetine Hcl | 54 | $786 |
| Pregabalin | 12 | $511 |
| Celecoxib | 15 | $407 |
| Fluconazole | 16 | $370 |
| Doxycycline Hyclate | 27 | $327 |
| Allopurinol | 39 | $317 |
| Methylprednisolone | 46 | $236 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 13 | $235 |
| Cephalexin | 57 | $234 |
| Meloxicam | 28 | $215 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $184 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 32 | $145 |
| Levofloxacin | 17 | $129 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Louisville
- Carl KihmLouisville$89K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
- Jonathan TowarnickiLouisville$22K
- Zachary OgdenLouisville$22K
- Eric GustafsonLouisville$20K
- Nicholas VogelsangLouisville$18K
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.