Randy Gubler
Foot & Ankle Surgery · Las Vegas, NVNPI 1679587612
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (51.5%), education and travel and lodging — rather than concentrated in one kind of arrangement. 32 manufacturers reported payments, led by Goode Surgical Inc at 48.4% of the total. Reporting peaked in 2019 at $3,723 and has fallen 87.5% since, to $464 in 2025.
Across 190 payments — averaging $39.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Goode Surgical Inc$4K
- Treace Medical Concepts, Inc.$1K
- Smith+Nephew$469
- AbbVie$275
- Paratek Pharmaceuticals, Inc.$170
- Nevro Corp.$166
- plus $2K from 26 others
What the payments were for
- Travel & lodging$2583%
- Food & beverage$3,90752%
- Education$3,41745%
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 |
|---|---|---|
| Goode Surgical Inc | 18 | $3,668 |
| Treace Medical Concepts, Inc. | 33 | $1,256 |
| Smith+Nephew | 31 | $469 |
| AbbVie(2 entities) | 22 | $275 |
| Paratek Pharmaceuticals, Inc. | 9 | $170 |
| Nevro Corp. | 6 | $166 |
| Trimed, Inc. | 1 | $148 |
| Tactile Systems Technology Inc | 8 | $132 |
| Alfasigma USA, Inc. | 3 | $129 |
| Bioventus LLC | 6 | $126 |
| Amgen(2 entities) | 5 | $126 |
| Stryker(2 entities) | 7 | $122 |
| Organogenesis Inc. | 5 | $114 |
| Aroa Biosurgery Incorporated | 3 | $69 |
| Forte Bio-pharma LLC | 3 | $59 |
| Abbott | 3 | $58 |
| Acera Surgical, Inc. | 3 | $55 |
| Kerecis Limited | 2 | $55 |
| Orthofix Medical, Inc. | 5 | $44 |
| Curonix LLC | 2 | $39 |
| Averitas Pharma Inc. | 1 | $38 |
| Medtronic(2 entities) | 2 | $36 |
| Misonix Inc | 2 | $36 |
| ANI Pharmaceuticals, Inc. | 2 | $33 |
| Carbofix Orthopedics Inc | 1 | $27 |
| Solventum Corporation | 1 | $27 |
| IBSA Pharma Inc. | 1 | $25 |
| Zimmer Biomet | 1 | $24 |
| GRT US Holding, Inc. | 1 | $20 |
| Paragon 28, Inc. | 1 | $14 |
| Merck | 1 | $12 |
| Dynasplint Systems Inc. | 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.
How this compares
$7,582 in reported general payments places this provider in the 70th percentile of 84 foot & ankle surgery providers in Nevada.
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 |
|---|---|---|
| Terbinafine Hcl | 166 | $1,452 |
| Ciclopirox | 29 | $973 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 26 | $682 |
| Gabapentin | 19 | $530 |
| Methylprednisolone | 61 | $372 |
| Doxycycline Monohydrate | 31 | $296 |
| CiclopiroxCiclopirox Olamine | 11 | $280 |
| Allopurinol | 20 | $154 |
| Cephalexin | 13 | $147 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 21 | $136 |
| Amitriptyline Hcl | 16 | $104 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $93 |
| Meloxicam | 12 | $56 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Las Vegas
- Troy WatsonLas Vegas$1.2M
- Ira WeinerLas Vegas$135K
- Abdolreza RaissiLas Vegas$110K
- Anthony BorgiaLas Vegas$47K
- Nahad WasselLas Vegas$24K
- Casey BurchillLas Vegas$20K
- Timothy BrookesLas Vegas$14K
- Daniel HallmanLas Vegas$12K
- Grant BeckLas Vegas$10K
- Thomman KuruvillaLas Vegas$9K
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.