Ralph Sprinkle, DPM
Foot & Ankle Surgery · Pawleys Island, SCNPI 1750367207
Payments from drug & device makers
Across 57 payments — averaging $16.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Amgen$171
- Paratek Pharmaceuticals, Inc.$113
- Treace Medical Concepts, Inc.$80
- Smith+Nephew$75
- Globus Medical$63
- Nevro Corp.$51
- plus $390 from 16 others
What the payments were for
- Food & beverage$944100%
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 |
|---|---|---|
| Amgen | 18 | $171 |
| Paratek Pharmaceuticals, Inc. | 6 | $113 |
| Treace Medical Concepts, Inc. | 3 | $80 |
| Smith+Nephew | 4 | $75 |
| Globus Medical | 1 | $63 |
| Nevro Corp. | 2 | $51 |
| Acumed LLC | 2 | $51 |
| AbbVie(2 entities) | 3 | $45 |
| Merck | 3 | $44 |
| ANI Pharmaceuticals, Inc. | 2 | $36 |
| Zyla Life Sciences, Inc. | 2 | $30 |
| Boston Scientific | 1 | $22 |
| Organogenesis Inc. | 1 | $22 |
| Solventum Corporation | 1 | $18 |
| Osiris Therapeutics Inc. | 1 | $18 |
| DJO, LLC | 1 | $18 |
| Zimmer Biomet | 1 | $16 |
| Nabriva Therapeutics, PLC | 1 | $15 |
| Alfasigma USA, Inc. | 1 | $14 |
| Peerless Surgical Inc. | 1 | $14 |
| GRT US Holding, Inc. | 1 | $14 |
| Misonix Inc | 1 | $13 |
How this compares
$944 in reported general payments places this provider in the 25th percentile of 87 foot & ankle surgery providers in South Carolina.
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 |
|---|---|---|
| Gentamicin Sulfate | 227 | $5,054 |
| Cephalexin | 222 | $1,076 |
| Triamcinolone Acetonide | 11 | $135 |
| Prednisone | 16 | $27 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Pawleys Island
- Christopher GrossCharleston$830K
- Benjamin OverleyHilton Head Island$643K
- Tyler GonzalezColumbia$525K
- Alison GartenRock Hill$419K
- Robert KleinGreenville$380K
- William JamesColumbia$222K
- William HarrisLancaster$203K
- Alexander PappasMyrtle Beach$104K
- John WomackGreenville$96K
- Christopher CrosbyMurrells Inlet$56K
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.