Robert Hadfield, DPM
Foot & Ankle Surgery · McKinney, TXNPI 1699939116
Payments from drug & device makers
What this record shows
This record is dominated by education: $2,315 of the $3,293 with a category attached, or 70.3%. Pylant Medical accounts for 71.5% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $1,356 and has fallen 90.6% since, to $128 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in TX, where the typical reported total is $3,901.
Across 32 payments — averaging $102.92 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pylant Medical$2K
- Stryker$726
- Smith+Nephew$45
- Johnson & Johnson$43
- Medtronic$35
- Orthofix Medical, Inc.$35
- plus $55 from 3 others
What the payments were for
- Food & beverage$97830%
- Education$2,31570%
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 |
|---|---|---|
| Pylant Medical | 3 | $2,356 |
| Stryker(2 entities) | 19 | $726 |
| Smith+Nephew | 2 | $45 |
| Johnson & Johnson | 1 | $43 |
| Medtronic | 2 | $35 |
| Orthofix Medical, Inc. | 2 | $35 |
| Integra Lifesciences Corporation | 1 | $21 |
| ERMI LLC | 1 | $18 |
| Amgen | 1 | $16 |
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.
- ALLOPURE$100
How this compares
$3,293 in reported general payments places this provider in the 45th percentile of 684 foot & ankle surgery providers in Texas.
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 |
|---|---|---|
| Ammonium Lactate | 23 | $250 |
| Cephalexin | 28 | $180 |
| Gabapentin | 15 | $177 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in McKinney
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
- Michael DowneySouthlake$475K
- Abdul NurudeenHouston$404K
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.