Nicholas Rutledge
Foot & Ankle Surgery · Vero Beach, FLNPI 1669495172
Payments from drug & device makers
Across 26 payments — averaging $70.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Organogenesis Inc.$317
- Treace Medical Concepts, Inc.$247
- Kerecis Limited$207
- Stryker$176
- Amgen$160
- Paragon 28, Inc.$143
- plus $594 from 10 others
What the payments were for
- Travel & lodging$915%
- Food & beverage$1,74595%
- Education$80%
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 |
|---|---|---|
| Organogenesis Inc. | 5 | $317 |
| Treace Medical Concepts, Inc. | 2 | $247 |
| Kerecis Limited | 1 | $207 |
| Stryker | 2 | $176 |
| Amgen | 4 | $160 |
| Paragon 28, Inc. | 1 | $143 |
| Boston Scientific | 1 | $129 |
| Anika Therapeutics, Inc. | 1 | $112 |
| Medtronic | 1 | $109 |
| Vertex | 1 | $102 |
| KCI USA, Inc. | 1 | $46 |
| Orthofix Medical, Inc. | 2 | $29 |
| Johnson & Johnson | 1 | $19 |
| Cardiovascular Systems Inc. | 1 | $17 |
| Vertiflex, Inc. | 1 | $17 |
| Merck | 1 | $15 |
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.
- Kerecis Omega3 SurgiClose$620
- Kerecis Omega3 GraftGuide$207
- Kerecis Omega3 Marigen$207
- Lapiplasty System$165
- Portfolio$143
- KRYSTEXXA$125
- AUGMENT INJECTABLE$120
- BIOFOAM$120
- ALLOPURE$120
- TACTOSET$112
- ClosureFast$109
- JOURNAVX$102
How this compares
$1,844 in reported general payments places this provider in the 35th percentile of 850 foot & ankle surgery providers in Florida.
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 |
|---|---|---|
| Ciclopirox | 122 | $3,834 |
| Ketoconazole | 69 | $1,448 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 54 | $1,284 |
| Mupirocin | 88 | $635 |
| Terbinafine Hcl | 23 | $209 |
| Cephalexin | 30 | $205 |
| Meloxicam | 79 | $204 |
| Allopurinol | 15 | $204 |
| Methylprednisolone | 19 | $145 |
| Gabapentin | 32 | $138 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 17 | $134 |
| Triamcinolone Acetonide | 12 | $130 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Vero Beach
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1.1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$938K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$814K
- Riquel GonzalezHialeah$612K
- Mario CalaHialeah$544K
- Christopher ReevesLake Mary$437K
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.