RxDoctor Payments Data

Nicholas Adams, DPM

Foot & Ankle Surgery · Raleigh, NCNPI 1760793038

Payments from drug & device makers

What this record shows

The money is spread across several categories — food and beverage (47.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 40 manufacturers, the largest accounting for just 20.1%. Reporting peaked in 2019 at $4,244 and has fallen 89.8% since, to $435 in 2025.

$12,678in general payments, 2019–2025

Across 152 payments — averaging $83.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Stryker$3K
  • In2bones USA, LLC$2K
  • Southtech Orthopedics$1K
  • Treace Medical Concepts, Inc.$1K
  • Ossio Inc$1K
  • Arthrex$1K
  • plus $4K from 34 others

What the payments were for

  • Consulting fees$2,50020%
  • Speaking & faculty fees$1,0008%
  • Travel & lodging$1,91215%
  • Food & beverage$6,05948%
  • Education$1,20710%

General payments by program year

19
20
21
22
23
24
25

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.

CompanyPaymentsTotal
Stryker21$2,543
In2bones USA, LLC2$1,647
Southtech Orthopedics2$1,223
Treace Medical Concepts, Inc.9$1,215
Ossio Inc2$1,120
Arthrex1$1,000
Nevro Corp.13$657
Epsfl, LLC7$518
Imbed Biosciences Inc.11$185
Averitas Pharma Inc.6$182
Exsomed Corporation1$178
Amgen(2 entities)11$174
Convatec Inc.3$169
Organogenesis Inc.5$168
Paragon 28, Inc.5$164
Linvatec Corporation1$148
Forma Medical1$143
Tricoast Surgical Solutions LLC2$139
Ortho Solutions Inc2$133
Smith+Nephew6$127
Globus Medical5$105
Angiodynamics, Inc.1$94
Paratek Pharmaceuticals, Inc.6$88
Abbott4$88
Carbofix Orthopedics Inc2$69
Medtronic3$57
Biocomposites Inc1$50
AbbVie(2 entities)3$42
Melinta Therapeutics, LLC2$36
Zyla Life Sciences, Inc.2$33
GRT US Holding, Inc.2$29
Vertex1$26
Kerecis Limited2$22
Nextremity Solutions Inc.1$21
Bioventus LLC1$17
Davol Inc.1$16
Orpyx Medical Technologies US Inc.1$15
Sebela Pharmaceuticals Inc.1$14
Merck1$13
Arthrosurface Incorporated1$11

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

$12,678 in reported general payments places this provider in the 85th percentile of 196 foot & ankle surgery providers in North Carolina.

See all foot & ankle surgery providers in North Carolina

Medicare billing

Part B allowed, 2024
$88,867
Medicare patients
310
Services billed
1,081

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

DrugClaimsCost to plans & patients
Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip50$1,185
Terbinafine Hcl39$643
Gabapentin37$547
Methylprednisolone39$193
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen24$168
Meloxicam19$60
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim11$25

Paid to pharmacies, not to this prescriber.

Other foot & ankle surgery in Raleigh

See the full list for North Carolina

Where these figures come from

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