Nicholas Foeger
Hand Surgery · Louisville, KYNPI 1932543048
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 38 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 21 manufacturers, the largest accounting for just 17.6% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2020 at $333 and has fallen 88.0% since, to $40 in 2025. That places this record below the midpoint for hand surgery clinicians in KY, where the typical reported total is $2,532.
Across 38 payments — averaging $35.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$236
- Medartis Inc.$178
- Stryker$158
- Skeletal Dynamics Inc$137
- Acumed LLC$117
- Treace Medical Concepts, Inc.$83
- plus $437 from 15 others
What the payments were for
- Food & beverage$1,346100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Smith+Nephew | 6 | $236 |
| Medartis Inc. | 3 | $178 |
| Stryker | 1 | $158 |
| Skeletal Dynamics Inc | 2 | $137 |
| Acumed LLC | 2 | $117 |
| Treace Medical Concepts, Inc. | 1 | $83 |
| Pacira Pharmaceuticals Incorporated | 4 | $65 |
| AbbVie | 3 | $55 |
| Amgen(2 entities) | 3 | $52 |
| Dynasplint Systems Inc. | 1 | $45 |
| Alpha Orthopedic Systems | 2 | $43 |
| Vertex | 1 | $24 |
| Averitas Pharma Inc. | 1 | $23 |
| Heron Therapeutics, Inc. | 1 | $21 |
| Eagle Pharmaceuticals, Inc. | 1 | $21 |
| Heraeus Medical, LLC. | 1 | $19 |
| Radius Health, Inc. | 1 | $15 |
| DJO, LLC | 1 | $15 |
| Mallinckrodt Enterprises LLC | 1 | $14 |
| Bioventus LLC | 1 | $14 |
| Johnson & Johnson | 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.
How this compares
$1,346 in reported general payments places this provider in the 35th percentile of 56 hand 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 |
|---|---|---|
| Diclofenac Sodium | 35 | $517 |
| Meloxicam | 13 | $271 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $192 |
| Methylprednisolone | 36 | $168 |
| Tramadol Hcl | 101 | $117 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 20 | $46 |
| Gabapentin | 15 | $32 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Louisville
- Amitava GuptaLouisville$175K
- Tuna OzyurekogluLouisville$25K
- Stephanie MerimeeLouisville$16K
- Luke RobinsonLouisville$12K
- Monica PecacheLouisville$11K
- Rodrigo Moreno GarciaLouisville$10K
- Michelle PalazzoLouisville$7K
- Jorge Quintero PerezLouisville$7K
- Elkin Galvis LeonLouisville$6K
- Kjell van RoyenLouisville$6K
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.