Nicholas Hugentobler, DPM
Foot & Ankle Surgery · Durango, CONPI 1508096116
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (36.5%), education and consulting fees — rather than concentrated in one kind of arrangement. 18 manufacturers reported payments, led by Vilex LLC at 34.1% of the total. Reporting peaked in 2021 at $12,436 and has fallen 98.9% since, to $131 in 2025.
Across 65 payments — averaging $401.47 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Vilex LLC$9K
- Novastep Inc.$7K
- In2bones USA, LLC$5K
- Curvebeam LLC$2K
- Flower Orthopedics Coporation$2K
- Organogenesis Inc.$160
- plus $716 from 12 others
Across 4 payments — averaging $3525.79 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Ipsen Innovation$9K
- Bristol Myers Squibb$4K
- Genentech, Inc.$1K
What the payments were for
- Royalty or licence$2491%
- Consulting fees$4,80018%
- Speaking & faculty fees$9,53437%
- Travel & lodging$4,11116%
- Food & beverage$1,3375%
- Education$6,06423%
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 |
|---|---|---|
| Vilex LLC | 15 | $8,906 |
| Novastep Inc. | 1 | $7,334 |
| In2bones USA, LLC | 17 | $5,251 |
| Curvebeam LLC | 1 | $2,200 |
| Flower Orthopedics Coporation | 2 | $1,527 |
| Organogenesis Inc. | 9 | $160 |
| Gemini Mountain Medical, LLC | 2 | $120 |
| Linvatec Corporation | 3 | $103 |
| Smith+Nephew | 4 | $85 |
| Trilliant Surgical LLC. | 1 | $82 |
| Alliance Medical | 1 | $82 |
| Biopro, Inc. | 1 | $74 |
| Treace Medical Concepts, Inc. | 2 | $49 |
| Bioventus LLC | 2 | $35 |
| Tactile Systems Technology Inc | 1 | $25 |
| Integra Lifesciences Corporation | 1 | $22 |
| Mimedx Group, Inc. | 1 | $20 |
| Paratek Pharmaceuticals, Inc. | 1 | $19 |
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.
- HINTERMANN$6,064
- TAR$2,521
- CoLink$2,502
- NeoSpan$2,102
- IBS$400
- Quantum Total Ankle$213
- 5MS$213
- Vitrium$102
How this compares
$26,095 in reported general payments places this provider in the 85th percentile of 181 foot & ankle surgery providers in Colorado.
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 |
|---|---|---|
| XareltoRivaroxaban | 12 | $4,271 |
| Pregabalin | 58 | $1,241 |
| Terbinafine Hcl | 87 | $1,138 |
| Gabapentin | 85 | $752 |
| Cephalexin | 125 | $685 |
| Nitro-BidNitroglycerin | 13 | $677 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 60 | $587 |
| Doxycycline Hyclate | 41 | $354 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 35 | $291 |
| Methylprednisolone | 48 | $255 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $210 |
| Cyclobenzaprine Hcl | 42 | $202 |
| Meloxicam | 42 | $163 |
| Allopurinol | 19 | $158 |
| Levofloxacin | 18 | $135 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Durango
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
- Brad DresherColorado Springs$1.3M
- Thomas ClantonVail$1.1M
- Brett SachsWheat Ridge$806K
- Jeffrey LehrmanFort Collins$628K
- Kevin NagamaniDenver$288K
- Keith JacobsonDenver$241K
- William MontrossColorado Springs$238K
- Dustin KruseWheat Ridge$217K
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.