Ronald Ray, DPM
Foot & Ankle Surgery · Great Falls, MTNPI 1104807411
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $138,617 of the $165,762 with a category attached, or 83.6%. Paragon 28, Inc. accounts for 87.3% of it on its own, with 23 other manufacturers making up the rest. Reporting peaked in 2023 at $63,000 and has fallen 84.1% since, to $10,011 in 2025. Among foot & ankle surgery clinicians in MT 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 118 payments — averaging $1404.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Paragon 28, Inc.$145K
- Synthes GmbH$16K
- Alafair Biosciences, Inc.$1K
- Smith+Nephew$856
- Vilex LLC$586
- Sioux Surgical Inc$326
- plus $2K from 18 others
What the payments were for
- Consulting fees$138,61784%
- Speaking & faculty fees$7,3754%
- Travel & lodging$14,3879%
- Food & beverage$5,3833%
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 |
|---|---|---|
| Paragon 28, Inc. | 40 | $144,754 |
| Synthes GmbH | 23 | $16,070 |
| Alafair Biosciences, Inc. | 2 | $1,438 |
| Smith+Nephew | 15 | $856 |
| Vilex LLC | 6 | $586 |
| Sioux Surgical Inc | 3 | $326 |
| Kerecis Limited | 1 | $297 |
| Sanara Medtech Inc. | 2 | $196 |
| Organogenesis Inc. | 6 | $184 |
| Restor3d, Inc. | 1 | $126 |
| Bone Support Inc. | 1 | $112 |
| Zimmer Biomet | 1 | $97 |
| Voom Medical Devices, Inc. | 1 | $91 |
| Next Science LLC | 1 | $90 |
| Averitas Pharma Inc. | 4 | $88 |
| Treace Medical Concepts, Inc. | 1 | $84 |
| Ossio Inc | 2 | $80 |
| Integra Lifesciences Corporation | 2 | $71 |
| Biopoly LLC | 1 | $66 |
| GRT US Holding, Inc. | 1 | $46 |
| Embody, Inc. | 1 | $41 |
| International Life Sciences | 1 | $26 |
| Solventum Corporation | 1 | $22 |
| Stryker | 1 | $18 |
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.
- Portfolio$60,288
- Product Portfolio$42,207
- VersaWrap$1,375
- Patient Specific Instrumentation - R&D$424
- MTP$420
- Kerecis Omega3 Wound$297
- APEX 3D$196
- GRAFIX PL$128
- CERAMENTBONE VOID FILLER$112
- CellerateRx$105
How this compares
$165,762 in reported general payments places this provider in the 95th percentile of 34 foot & ankle surgery providers in Montana.
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 |
|---|---|---|
| Methylprednisolone | 26 | $514 |
| Ammonium Lactate | 18 | $497 |
| Cephalexin | 14 | $193 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Great Falls
- Andrew LindekugelGreat Falls$5K
- Gina PainterGreat Falls$195
- Dallin GreeneGlendive$187K
- Andrew RiceLivingston$130K
- Brian SchenavarMissoula$34K
- Brent RosterMissoula$24K
- Zachary LubekBillings$18K
- Jennifer Gravos-BauerSidney$17K
- Jon RobinsonBozeman$10K
- Bijan AndradeBozeman$9K
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.