Nicholas Bruning, DPM
Foot & Ankle Surgery · Cadillac, MINPI 1407353998
Payments from drug & device makers
Across 39 payments — averaging $72.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pinnacle, Inc$1K
- Treace Medical Concepts, Inc.$399
- Paragon 28, Inc.$239
- Integra Lifesciences Corporation$225
- Acumed LLC$201
- Osteomed LLC$194
- plus $258 from 10 others
What the payments were for
- Food & beverage$1,35448%
- Education$1,47852%
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 |
|---|---|---|
| Pinnacle, Inc | 3 | $1,316 |
| Treace Medical Concepts, Inc. | 11 | $399 |
| Paragon 28, Inc. | 4 | $239 |
| Integra Lifesciences Corporation | 4 | $225 |
| Acumed LLC | 3 | $201 |
| Osteomed LLC | 2 | $194 |
| Stryker | 2 | $62 |
| Johnson & Johnson | 2 | $49 |
| Paratek Pharmaceuticals, Inc. | 1 | $22 |
| Globus Medical | 1 | $21 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $20 |
| Smith+Nephew | 1 | $20 |
| Bioventus LLC | 1 | $19 |
| Nevro Corp. | 1 | $16 |
| Supreme Orthopedic Systems, LLC | 1 | $15 |
| Amgen | 1 | $14 |
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.
- INTEGRA$333
- Lapiplasty System$258
- OsteoMed$149
- R3ACT$134
- EXT-Extremilock Foot$115
- INTEGRA DERMAL REGENERATION TEMPLATE$111
- PRIMATRIX$111
How this compares
$2,833 in reported general payments places this provider in the 45th percentile of 384 foot & ankle surgery providers in Michigan.
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 |
|---|---|---|
| Ketoconazole | 22 | $543 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Cadillac
- John AndersonGrand Rapids$1.3M
- Brian LoderClinton Township$893K
- Karl DunnClinton Twp$434K
- John MaskillGrand Rapids$424K
- Anthony LalamaMacomb$421K
- Christopher ZingasSaint Clair Shores$227K
- Michael SwordsLansing$202K
- Gregory SheremetaTroy$87K
- Jason WesloskyClinton Township$87K
- Hatim BurhaniGrosse Pointe Woods$77K
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.