Rene'e Shepherd, DPM
Foot & Ankle Surgery · Supply, NCNPI 1558713420
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (56.5%), education and travel and lodging — rather than concentrated in one kind of arrangement. It is spread thinly across 27 manufacturers, the largest accounting for just 22.3%. Reporting peaked in 2022 at $2,317 and has fallen 51.5% since, to $1,124 in 2025.
Across 90 payments — averaging $97.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Fortis Surgical, LLC$1K
- Micromed Inc$1K
- Amgen$633
- Paratek Pharmaceuticals, Inc.$423
- Smith+Nephew$376
- plus $3K from 21 others
What the payments were for
- Travel & lodging$1,42416%
- Food & beverage$4,96356%
- Education$2,40027%
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 |
|---|---|---|
| Stryker | 14 | $1,957 |
| Fortis Surgical, LLC | 4 | $1,368 |
| Micromed Inc | 2 | $1,215 |
| Amgen(2 entities) | 7 | $633 |
| Paratek Pharmaceuticals, Inc. | 11 | $423 |
| Smith+Nephew | 12 | $376 |
| Tricoast Surgical Solutions LLC | 6 | $373 |
| AbbVie(2 entities) | 4 | $273 |
| Kerecis Limited | 2 | $268 |
| Linvatec Corporation | 2 | $253 |
| Organogenesis Inc. | 2 | $206 |
| Treace Medical Concepts, Inc. | 3 | $182 |
| Cardiovascular Systems Inc. | 1 | $169 |
| Abbott | 3 | $142 |
| Integra Lifesciences Corporation | 3 | $142 |
| Globus Medical | 1 | $130 |
| Pacira Pharmaceuticals Incorporated | 1 | $118 |
| Arthrex | 1 | $113 |
| Orthofix Medical, Inc. | 2 | $97 |
| Sanara Medtech Inc. | 1 | $91 |
| Convatec Inc. | 2 | $67 |
| Johnson & Johnson | 1 | $48 |
| Acell, Inc. | 1 | $36 |
| KCI USA, Inc. | 1 | $34 |
| Bioventus LLC | 1 | $28 |
| Anika Therapeutics, Inc. | 1 | $24 |
| Nabriva Therapeutics, PLC | 1 | $21 |
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 Marigen$925
- INBONE$687
- PROstep$641
- KRYSTEXXA$471
- RAYOS$370
- Kerecis Omega3 SurgiClose$268
- NUZYRA$234
- PURAPLY WOUND MATRIX$190
- Affinity$190
- Apligraf$190
- QUANTUM$170
- Diamondback Peripheral$169
- HOFFMANN$149
- Kerecis Omega3 GraftGuide$145
- ORTHOLOC 3DI CROSSCHECK$144
- Senza$130
- EXPAREL$118
- DALVANCE$117
- TEFLARO$113
- PICO$103
How this compares
$8,788 in reported general payments places this provider in the 75th percentile of 196 foot & ankle surgery providers in North 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 |
|---|---|---|
| Ciclopirox | 30 | $842 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 16 | $323 |
| Mupirocin | 34 | $287 |
| Methylprednisolone | 48 | $258 |
| Diclofenac Sodium | 12 | $229 |
| Terbinafine Hcl | 23 | $221 |
| Silver Sulfadiazine | 25 | $160 |
| Ammonium Lactate | 11 | $152 |
| Cephalexin | 17 | $133 |
| Pregabalin | 16 | $89 |
| Doxycycline Hyclate | 12 | $67 |
| Meloxicam | 16 | $18 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Supply
- Robert OlsonGastonia$473K
- Austin MatthewsLumberton$279K
- Matthew DzurikWilmington$142K
- Kristen McGinnessFayetteville$123K
- William RespessGreenville$79K
- Brian FutrellCary$71K
- Kenneth BloomMooresville$53K
- Stephen HeislerChapel Hill$49K
- Benjamin UmbelMorganton$37K
- Andrew HanselmanWake Forest$30K
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.