Richard Derner, DPM
Foot & Ankle Surgery · Lake Ridge, VANPI 1932177607
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (34.5%), other and consulting fees — rather than concentrated in one kind of arrangement. 36 manufacturers reported payments, led by Flower Orthopedics Coporation at 36.8% of the total. Reporting peaked in 2021 at $72,456 and has fallen 76.1% since, to $17,292 in 2025. Among foot & ankle surgery clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 214 payments — averaging $988.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Flower Orthopedics Coporation$78K
- Medshape, Inc.$58K
- New Standard Device, LLC Dba Metalogix$44K
- Anika Therapeutics, Inc.$10K
- Fusion Orthopedics USA, LLC$10K
- Stryker$4K
- plus $8K from 30 others
Across 13 payments — averaging $1642.15 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Zimmer Biomet$21K
What the payments were for
- Royalty or licence$73,04235%
- Consulting fees$57,30827%
- Travel & lodging$9,8795%
- Food & beverage$9,5084%
- Education$4,2812%
- Other$57,52127%
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 |
|---|---|---|
| Flower Orthopedics Coporation | 57 | $77,815 |
| Medshape, Inc. | 1 | $57,521 |
| New Standard Device, LLC Dba Metalogix | 3 | $43,796 |
| Anika Therapeutics, Inc. | 10 | $10,106 |
| Fusion Orthopedics USA, LLC | 8 | $9,806 |
| Stryker(2 entities) | 48 | $4,441 |
| Zimmer Biomet | 19 | $4,345 |
| Ossio Inc | 10 | $1,594 |
| Ortho Solutions Inc | 2 | $309 |
| Johnson & Johnson | 10 | $245 |
| Linvatec Corporation | 3 | $224 |
| Smith+Nephew | 3 | $173 |
| Biocomposites Inc | 2 | $159 |
| Trilliant Surgical LLC. | 1 | $149 |
| Bioventus LLC | 4 | $102 |
| Treace Medical Concepts, Inc. | 1 | $92 |
| Organogenesis Inc. | 3 | $84 |
| Integra Lifesciences Corporation | 4 | $79 |
| Bonalive Inc | 1 | $53 |
| Amgen | 3 | $48 |
| Paratek Pharmaceuticals, Inc. | 3 | $47 |
| Novastep Inc. | 1 | $44 |
| Supreme Orthopedic Systems, LLC | 1 | $38 |
| Pacira Pharmaceuticals Incorporated | 2 | $35 |
| Convatec Inc. | 1 | $31 |
| Hikma Pharmaceuticals USA | 2 | $29 |
| Orthofix Medical, Inc. | 2 | $24 |
| Averitas Pharma Inc. | 1 | $22 |
| Dynasplint Systems Inc. | 1 | $22 |
| Progenacare Global, LLC | 1 | $19 |
| ERMI LLC | 1 | $17 |
| Merck | 1 | $17 |
| Medtronic | 1 | $16 |
| Nabriva Therapeutics, PLC | 1 | $15 |
| Kowa Pharmaceuticals America, Inc. | 1 | $14 |
| Kerecis Limited | 1 | $8 |
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.
- Lapidus Plate, Alpha$9,163
- MTP Plate, 5 Holes, Right$9,163
- Lapidus Plate, Beta$9,163
- MTP Plate, 5 Holes, Left$9,163
- Medial Column Plate, Right$8,075
- Fibula Nail, 3.5mm x 130mm, Titanium, Flex-Thread$7,989
- Fibula Nail, 4.5mm x 130mm, Titanium, Flex-Thread$7,989
- Fibula Nail, 4.5mm x 180mm, Titanium, Flex-Thread$7,989
- Fibula Nail, 3.5mm x 180mm, Titanium, Flex-Thread$7,989
- ZERO Profile Interlocking Cortex Screw, 2.7mm x 14mm, T8, Flex-Thread$7,989
- TACTOSET$7,406
- Metalogix$2,417
- ROSA$1,694
- Elongated L-Plate, 4 Holes, (R),$1,088
- X-Twist$1,000
- VALOR$951
- PROPHECY$922
- FnA Products$769
- HemiCAP$641
- Lapidus Plate$479
How this compares
$211,540 in reported general payments places this provider in the 95th percentile of 260 foot & ankle surgery providers in Virginia.
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 |
|---|---|---|
| EliquisApixaban | 31 | $17,846 |
| Cephalexin | 32 | $624 |
| Gabapentin | 26 | $419 |
| Ondansetron OdtOndansetron | 18 | $338 |
| Oxycodone Hcl | 21 | $144 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 22 | $133 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Lake Ridge
- James ChungLake Ridge$23K
- Mark JonesNorth Chesterfield$2.4M
- Oliver SchipperArlington$1.2M
- Steven NeufeldFalls Church$857K
- Charles ZelenRoanoke$363K
- Ryan VazalesGlen Allen$337K
- Jugal DhariaFairfax$309K
- William SimonVirginia Beach$292K
- William GrantVirginia Beach$271K
- Bradley LevittVirginia Beach$243K
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.