Nelson Keller, DPM
Podiatrist · Grafton, VANPI 1558377408
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (51.8%), food and beverage and entertainment — rather than concentrated in one kind of arrangement. Stryker accounts for 69.6% of it on its own, with 18 other manufacturers making up the rest. Reporting peaked in 2019 at $4,711 and has fallen 83.1% since, to $796 in 2025. Among podiatrist clinicians in VA 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 306 payments — averaging $55.35 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$12K
- Smith+Nephew$2K
- Paragon 28, Inc.$1K
- Misonix Inc$572
- Bioventus LLC$500
- Kerecis Limited$394
- plus $706 from 13 others
What the payments were for
- Travel & lodging$8,76952%
- Food & beverage$8,14748%
- Entertainment$210%
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(2 entities) | 120 | $11,792 |
| Smith+Nephew | 65 | $1,514 |
| Paragon 28, Inc. | 8 | $1,457 |
| Misonix Inc | 58 | $572 |
| Bioventus LLC | 25 | $500 |
| Kerecis Limited | 3 | $394 |
| Lifenet Health | 10 | $231 |
| Biocomposites Inc | 1 | $118 |
| Osiris Therapeutics Inc. | 3 | $70 |
| Organogenesis Inc. | 2 | $52 |
| Paratek Pharmaceuticals, Inc. | 2 | $43 |
| KCI USA, Inc. | 2 | $39 |
| Sanara Medtech Inc. | 1 | $32 |
| Bone Support Inc. | 1 | $26 |
| Convatec Inc. | 1 | $24 |
| Fortis Surgical, LLC | 1 | $22 |
| Trimed, Inc. | 1 | $21 |
| Kowa Pharmaceuticals America, Inc. | 1 | $16 |
| Melinta Therapeutics, LLC | 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.
- PROstep$2,744
- HOFFMANN$2,248
- VARIAX$1,065
- SALVATION$807
- ORTHOLOC 3DI$790
- Kerecis Omega3 SurgiClose$747
- ALLOWRAP$374
- T2$262
- Kerecis Omega3 GraftGuide$249
- Kerecis Omega3 Marigen$249
- EASYFUSE$235
- Stravix$229
- PROPHECY$209
- ORTHOLOC 2 LAPIFUSE$168
- N/A$168
- ASNIS$160
- EASY CLIP$146
- SONICFUSION$146
- ANCHORAGE$130
- CARTIVA$128
How this compares
$16,936 in reported general payments places this provider in the 90th percentile of 126 podiatrist 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 | 119 | $1,848 |
| Methylprednisolone | 231 | $1,338 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 117 | $983 |
| Diclofenac Sodium | 111 | $817 |
| CeftriaxoneCeftriaxone Sodium | 28 | $813 |
| Cephalexin | 117 | $675 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 82 | $672 |
| Terbinafine Hcl | 48 | $669 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 37 | $441 |
| Ciprofloxacin Hcl | 31 | $304 |
| Clindamycin Hcl | 32 | $264 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 38 | $225 |
| Amitriptyline Hcl | 11 | $187 |
| Prednisone | 28 | $179 |
| Oxycodone Hcl | 12 | $135 |
Paid to pharmacies, not to this prescriber.
Other podiatrist in Grafton
- John ClementsRoanoke$925K
- Leland GilmoreAlexandria$155K
- Justin PhillinganePetersburg$82K
- Jeremy WaltersSuffolk$60K
- Matthew HopsonWilliamsburg$44K
- Benjamin ProtoNewport News$26K
- Kevin RabieVirginia Beach$18K
- Robert BoguskiRoanoke$12K
- Stacie BuckNewport News$11K
- Diltaj SinghSterling$11K
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.