Patrick Bull, DO
Foot and Ankle Surgery · Worthington, OHNPI 1528277787
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $64,600 of the $94,530 with a category attached, or 68.3%. International Life Sciences accounts for 64.4% of it on its own, with 24 other manufacturers making up the rest. Reporting peaked in 2022 at $25,312 and has fallen 81.7% since, to $4,634 in 2025. Among foot and ankle surgery clinicians in OH with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 152 payments — averaging $621.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- International Life Sciences$61K
- Medline Industries LP$26K
- Integra Lifesciences Corporation$2K
- Stryker$2K
- Theramicro, Inc.$638
- Paragon 28, Inc.$434
- plus $3K from 19 others
What the payments were for
- Royalty or licence$8,2619%
- Consulting fees$64,60068%
- Speaking & faculty fees$9,14310%
- Travel & lodging$5,2166%
- Food & beverage$7,2358%
- Gifts$750%
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 |
|---|---|---|
| International Life Sciences | 14 | $60,846 |
| Medline Industries LP | 77 | $25,751 |
| Integra Lifesciences Corporation | 3 | $1,913 |
| Stryker(2 entities) | 13 | $1,880 |
| Theramicro, Inc. | 2 | $638 |
| Paragon 28, Inc. | 4 | $434 |
| Treace Medical Concepts, Inc. | 2 | $371 |
| Orthofix Medical, Inc. | 3 | $288 |
| Kuros Biosciences USA, Inc | 3 | $278 |
| Medshape, Inc. | 2 | $243 |
| Bone Support Inc. | 2 | $235 |
| Vilex LLC | 1 | $208 |
| Pfizer | 12 | $199 |
| Sanara Medtech Inc. | 1 | $192 |
| Smith+Nephew | 2 | $174 |
| In2bones USA, LLC | 1 | $144 |
| Johnson & Johnson | 1 | $123 |
| Stimwave Technologies Incorporated | 2 | $102 |
| Linvatec Corporation | 1 | $100 |
| Crossroads Extremity Systems, LLC | 1 | $99 |
| Exactech, Inc. | 1 | $95 |
| Innovation Technologies Inc | 1 | $63 |
| DJO, LLC | 1 | $60 |
| Restor3d, Inc. | 1 | $47 |
| Ossio Inc | 1 | $46 |
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.
- FLEXBAND$41,162
- MEDLINE UNITE$32,188
- MEDLINE INDUSTRIES, INC.$9,161
- Dermatology and Wound Care$7,343
- MEDLINE$6,462
- PENDING$3,231
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$1,913
- PANTA NAIL$1,913
- TOTAL FOOT SYSTEM$1,913
- CADENCE ANKLE REPLACEMENT SYSTEM$1,913
- MJFS4536$1,712
- mild Device Kit$1,000
- Medline Unite Foot Plating System$955
- TekBrace Solo$638
- Fracture Kits: Unite Ankle Fracture Core Kit$450
- BIOFOAM$442
- AUGMENT INJECTABLE$296
- CITREFIX$296
- Lapiplasty System$281
- INBONE$280
How this compares
$94,530 in reported general payments places this provider in the 90th percentile of 429 foot and ankle surgery providers in Ohio.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 26 | $317 |
| Cephalexin | 28 | $140 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Worthington
- Christopher HyerWorthington$4.7M
- Mark PrisselWorthington$1.2M
- Roberto BrandaoWorthington$151K
- Travis LanganWorthington$141K
- Sarah AbshierWorthington$33K
- Devon ConsulWorthington$32K
- David GossWorthington$29K
- Cameron MeyerWorthington$20K
- Thomas LeePickerington$4M
- Jordan GrossmanAkron$2.5M
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.