Paul Klutts, DPM
Foot & Ankle Surgery · Elizabethtown, KYNPI 1285956706
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 24 manufacturers reported payments, led by DNE LLC at 56.7% of the total. Reporting peaked in 2022 at $12,397 and has fallen 71.3% since, to $3,555 in 2025. Among foot & ankle surgery clinicians in KY 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 170 payments — averaging $128.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- DNE LLC$12K
- Treace Medical Concepts, Inc.$3K
- Linvatec Corporation$2K
- Organogenesis Inc.$758
- Misonix Inc$582
- Smith+Nephew$564
- plus $3K from 18 others
What the payments were for
- Consulting fees$12,00055%
- Speaking & faculty fees$830%
- Travel & lodging$3,83018%
- Food & beverage$5,89427%
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 |
|---|---|---|
| DNE LLC | 5 | $12,372 |
| Treace Medical Concepts, Inc. | 18 | $2,584 |
| Linvatec Corporation | 4 | $2,270 |
| Organogenesis Inc. | 29 | $758 |
| Misonix Inc | 25 | $582 |
| Smith+Nephew | 31 | $564 |
| Stryker(2 entities) | 9 | $531 |
| Paragon 28, Inc. | 7 | $422 |
| Fusion Orthopedics USA, LLC | 7 | $342 |
| Terumo Medical Corporation | 2 | $253 |
| In2bones USA, LLC | 4 | $238 |
| Bioventus LLC | 7 | $173 |
| Orthofix Medical, Inc. | 5 | $165 |
| Trilliant Surgical LLC. | 1 | $149 |
| Bone Support Inc. | 1 | $115 |
| Integra Lifesciences Corporation | 4 | $92 |
| Medtronic | 3 | $53 |
| Zimmer Biomet | 2 | $49 |
| AbbVie | 1 | $18 |
| Amgen | 1 | $18 |
| Acumed LLC | 1 | $17 |
| Paratek Pharmaceuticals, Inc. | 1 | $16 |
| Novastep Inc. | 1 | $15 |
| Melinta Therapeutics, LLC | 1 | $11 |
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.
- SEAL$12,372
- QUANTUM$2,136
- Lapiplasty System$1,627
- BioBrace 23mm$270
- GlideWire$253
- PuraPly$237
- TMC PSI CUT GUIDE SYSTEM$164
- VARIAX$156
- CoLink$150
- Arsenal Sinus Support Plate$149
- TAR$147
- NeoSpan$136
- HERCULES SYNDESMOSIS IMPLANT SYSTEM$136
- HERCULES SUTURE ANCHOR SYSTEM$136
- Trinity ELITE$134
- ORTHOLOC$131
- Stravix$125
- CERAMENTBONE VOID FILLER$115
- CERAMENT G$115
- MONKEY RINGS$101
How this compares
$21,808 in reported general payments places this provider in the 90th percentile of 141 foot & ankle 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 |
|---|---|---|
| Gabapentin | 70 | $1,814 |
| AmantadineAmantadine Hcl | 13 | $1,761 |
| CiclopiroxCiclopirox Olamine | 16 | $1,568 |
| Ciclopirox | 20 | $1,341 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 42 | $354 |
| Doxycycline Hyclate | 49 | $340 |
| Ammonium Lactate | 20 | $296 |
| Silver Sulfadiazine | 21 | $181 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $152 |
| Ondansetron OdtOndansetron | 13 | $147 |
| Terbinafine Hcl | 14 | $129 |
| SsdSilver Sulfadiazine | 14 | $113 |
| Promethazine Hcl | 26 | $70 |
| Cephalexin | 22 | $66 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Elizabethtown
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Bradford FineLexington$82K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- Russell BakerCarrollton$27K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
- Garrett WiremanLouisville$26K
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.