Romesh Dhaduk, DPM
Foot & Ankle Surgery · Avon, INNPI 1780035261
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (43.0%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 36 manufacturers reported payments, led by Crossroads Orthopedics, LLC at 38.3% of the total. Reporting peaked in 2022 at $5,747 and has fallen 74.9% since, to $1,441 in 2025.
Across 173 payments — averaging $132.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Crossroads Orthopedics, LLC$9K
- Stryker$3K
- Arthrex$2K
- Ossio Inc$2K
- Skye Orthobiologics LLC$1K
- Osteomed LLC$1K
- plus $5K from 30 others
Across 3 payments — averaging $1650.00 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.
- Skye Orthobiologics LLC$5K
What the payments were for
- Consulting fees$3,37515%
- Speaking & faculty fees$1,2505%
- Travel & lodging$3,69116%
- Food & beverage$4,72221%
- Education$9,85043%
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 |
|---|---|---|
| Crossroads Orthopedics, LLC | 11 | $8,765 |
| Stryker(2 entities) | 39 | $3,191 |
| Arthrex | 6 | $1,618 |
| Ossio Inc | 1 | $1,500 |
| Skye Orthobiologics LLC | 1 | $1,250 |
| Osteomed LLC | 7 | $1,098 |
| In2bones USA, LLC | 3 | $1,084 |
| Ortho Solutions Inc | 1 | $875 |
| Paragon 28, Inc. | 5 | $657 |
| Trilliant Surgical LLC. | 2 | $597 |
| Tactile Systems Technology Inc | 49 | $555 |
| Johnson & Johnson(2 entities) | 7 | $261 |
| Orthofix Medical, Inc. | 2 | $154 |
| Linvatec Corporation | 1 | $148 |
| Fusion Orthopedics USA, LLC | 1 | $134 |
| Summ Cott Medical | 2 | $119 |
| Medshape, Inc. | 2 | $96 |
| Integra Lifesciences Corporation | 2 | $85 |
| Cardiovascular Systems Inc. | 1 | $82 |
| Treace Medical Concepts, Inc. | 4 | $69 |
| DJO, LLC | 4 | $64 |
| MF MED | 2 | $57 |
| Paratek Pharmaceuticals, Inc. | 3 | $53 |
| Bioventus LLC | 3 | $50 |
| Dynasplint Systems Inc. | 1 | $49 |
| Smith+Nephew | 1 | $44 |
| Inari Medical, Inc. | 1 | $40 |
| Novastep Inc. | 2 | $38 |
| Polynovo North America LLC | 2 | $34 |
| Medtronic | 1 | $24 |
| Kerecis Limited | 1 | $19 |
| Vertex | 1 | $19 |
| Biocomposites Inc | 1 | $18 |
| Globus Medical | 1 | $16 |
| Kowa Pharmaceuticals America, Inc. | 1 | $13 |
| Anika Therapeutics, Inc. | 1 | $12 |
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.
- STAR$1,087
- Reference Toe System$1,000
- EXT-Other$787
- Portfolio$572
- SALVATION$568
- Arsenal$500
- VARIAX$268
- FLEXBAND$183
- INBONE$157
- 5MS$148
- BioBrace 23mm$148
- FIXOS$123
- VA-LCP PLATES & SCREWS$119
- HEADLESS COMPRESSION SCREWS$119
- BME NITINOL CONTINUOUS COMPRESSION IMPLANTS$119
- TL-HEX$109
- TrueLok Ring Fixation System$109
How this compares
$22,888 in reported general payments places this provider in the 85th percentile of 212 foot & ankle surgery providers in Indiana.
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 |
|---|---|---|
| Ketoconazole | 87 | $1,927 |
| Gabapentin | 72 | $530 |
| Cephalexin | 76 | $502 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 34 | $140 |
| Methylprednisolone | 14 | $115 |
| Doxycycline Hyclate | 11 | $86 |
| Triamcinolone Acetonide | 12 | $36 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Avon
- Kalen FarrAvon$17K
- Timothy HowardAvon$11K
- Steven HerbstMuncie$1.6M
- Douglas BlacklidgeKokomo$689K
- Patrick DeheerIndianapolis$493K
- Scott NevilleMooresville$353K
- Travis MontgomeryWestfield$345K
- Robert Clemency IiiSchererville$215K
- William AdamsGreenfield$178K
- Steven DouthettFort Wayne$153K
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.