Rhett Lakin, DPM
Foot & Ankle Surgery · Springfield, MONPI 1639345242
Payments from drug & device makers
What this record shows
This record is dominated by education: $4,415 of the $6,860 with a category attached, or 64.4%. Titan Surgical Group, LLC accounts for 64.7% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2022 at $3,958 and has fallen 93.7% since, to $251 in 2025.
Across 29 payments — averaging $236.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Titan Surgical Group, LLC$4K
- Arthrex$1K
- Treace Medical Concepts, Inc.$228
- Johnson & Johnson$197
- Stryker$179
- Medtronic$156
- plus $208 from 2 others
Across 7 payments — averaging $9362.64 each. An ownership or investment interest held by the physician or an immediate family member.
- Spinal Simplicity, LLC$66K
What the payments were for
- Travel & lodging$1,41621%
- Food & beverage$1,03015%
- Education$4,41564%
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 |
|---|---|---|
| Titan Surgical Group, LLC | 7 | $4,437 |
| Arthrex | 5 | $1,456 |
| Treace Medical Concepts, Inc. | 5 | $228 |
| Johnson & Johnson | 2 | $197 |
| Stryker(2 entities) | 4 | $179 |
| Medtronic | 2 | $156 |
| Organogenesis Inc. | 2 | $113 |
| Acera Surgical, Inc. | 2 | $96 |
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
$6,860 in reported general payments places this provider in the 55th percentile of 163 foot & ankle surgery providers in Missouri.
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 |
|---|---|---|
| CiclopiroxCiclopirox Olamine | 58 | $1,729 |
| Doxycycline Monohydrate | 62 | $922 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 81 | $505 |
| Ondansetron Hcl | 20 | $354 |
| Pregabalin | 11 | $318 |
| Gabapentin | 17 | $291 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $197 |
| Meloxicam | 60 | $168 |
| Doxycycline Hyclate | 15 | $130 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 15 | $107 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Springfield
- David HicksSpringfield$22K
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Timothy BadweyKansas City$427K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- Amar PatelLees Summit$203K
- Anthony LombardoBridgeton$132K
- Jason AndersonKansas City$131K
- John HoltzmanSaint Louis$129K
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.