Richard Smith, MD
Foot and Ankle Surgery · Baltimore, MDNPI 1669961702
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (52.8%), food and beverage and grants — rather than concentrated in one kind of arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 23.6%. 2025 is the largest year on record at $9,580, 7.8 times the $1,224 reported in 2021.
Across 126 payments — averaging $140.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Arthrex$4K
- Smith+Nephew$3K
- Paragon 28, Inc.$1K
- Legacy Ortho LLC$1K
- Medshape, Inc.$1K
- plus $4K from 18 others
What the payments were for
- Grants$1,6009%
- Travel & lodging$9,34853%
- Food & beverage$5,20429%
- Education$1,5469%
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 | 38 | $4,170 |
| Arthrex | 27 | $3,564 |
| Smith+Nephew | 10 | $2,515 |
| Paragon 28, Inc. | 7 | $1,215 |
| Legacy Ortho LLC | 1 | $1,200 |
| Medshape, Inc. | 2 | $1,003 |
| Supreme Orthopedic Systems, LLC | 6 | $807 |
| Native Surgical, LLC | 8 | $764 |
| Trilliant Surgical LLC. | 2 | $763 |
| Zimmer Biomet | 4 | $367 |
| International Life Sciences | 1 | $294 |
| Treace Medical Concepts, Inc. | 3 | $168 |
| Medline Industries LP | 1 | $138 |
| Abbott | 1 | $129 |
| Medtronic | 2 | $120 |
| Linvatec Corporation | 2 | $116 |
| Integra Lifesciences Corporation | 2 | $115 |
| Sanara Medtech Inc. | 1 | $109 |
| Mid-atlantic Surgical Systems, LLC | 2 | $33 |
| Edwards Lifesciences | 1 | $30 |
| Orthofix Medical, Inc. | 2 | $22 |
| Biopro, Inc. | 1 | $22 |
| Fidia Pharma USA Inc. | 1 | $20 |
| Boston Scientific | 1 | $15 |
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.
- ACUFEX Meniscal Root Repair$2,166
- CAP-FIX$1,736
- Healicoil$1,736
- NOVOSTITCH$1,736
- Q-FIX$1,736
- INFINITY ADAPTIS$1,462
- PROstep$835
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$763
- Phantom Intramedullary Nail$638
- DynaNail Helix, Washer, 15 mm$558
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$445
- Portfolio$419
- FLEXBAND$294
- ALLOMATRIX$281
- Persona$183
- ROSA$183
- mymobility Platform$183
- INBONE$175
- Actishield$149
- EVOS$137
How this compares
$17,698 in reported general payments places this provider in the 85th percentile of 182 foot and ankle surgery providers in Maryland.
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 |
|---|---|---|
| Prochlorperazine Maleate | 14 | $119 |
| Oxycodone Hcl | 12 | $76 |
| Cephalexin | 15 | $57 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Baltimore
- Lew SchonBaltimore$752K
- Stuart MillerBaltimore$583K
- Patrick MaloneyBaltimore$262K
- Gregory GuytonBaltimore$216K
- Clifford JengBaltimore$74K
- Kyung SeoBaltimore$23K
- Jacob WisbeckBaltimore$17K
- Stephen JacobsenBaltimore$17K
- Brady WilliamsBaltimore$17K
- Walter HembreeBaltimore$16K
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.