Ronald Troxell, DPM
Foot & Ankle Surgery · Trinity, FLNPI 1851754824
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $196,428 of the $223,550 with a category attached, or 87.9%. 36 manufacturers reported payments, led by Stability Biologics, LLC at 38.4% of the total. 2025 is the largest year on record at $91,587, more than ten times the $6,496 reported in 2019. Among foot & ankle surgery clinicians in FL 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 294 payments — averaging $760.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stability Biologics, LLC$86K
- Treace Medical Concepts, Inc.$48K
- DNE LLC$39K
- Medshape, Inc.$24K
- Stryker$6K
- Novastep Inc.$6K
- plus $14K from 30 others
Across 1 payment — averaging $11,550 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$12K
What the payments were for
- Consulting fees$196,42888%
- Speaking & faculty fees$4550%
- Travel & lodging$13,1106%
- Food & beverage$12,3566%
- Education$1,2001%
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 |
|---|---|---|
| Stability Biologics, LLC | 34 | $85,940 |
| Treace Medical Concepts, Inc. | 54 | $48,190 |
| DNE LLC | 16 | $39,449 |
| Medshape, Inc. | 25 | $23,798 |
| Stryker | 79 | $6,438 |
| Novastep Inc. | 2 | $5,550 |
| Crossroads Extremity Systems, LLC | 10 | $5,520 |
| Encore Medical, LP | 3 | $2,000 |
| Trilliant Surgical LLC. | 3 | $1,292 |
| MVP Orthopedics Inc | 2 | $1,218 |
| Orthofix Medical, Inc. | 7 | $1,051 |
| Smith+Nephew | 12 | $1,039 |
| Paragon 28, Inc. | 6 | $732 |
| Organogenesis Inc. | 8 | $181 |
| Boehringer Ingelheim | 1 | $123 |
| Celularity Inc. | 1 | $123 |
| Baxter Healthcare | 1 | $121 |
| Melinta Therapeutics, LLC | 1 | $119 |
| Johnson & Johnson | 3 | $110 |
| Extremity Medical | 1 | $91 |
| Integra Lifesciences Corporation | 3 | $80 |
| Theragen, Inc. | 5 | $68 |
| ERMI LLC | 2 | $50 |
| Fidia Pharma USA Inc. | 3 | $41 |
| DJO, LLC | 1 | $26 |
| Globus Medical | 1 | $25 |
| Dynasplint Systems Inc. | 1 | $22 |
| Braintree Laboratories, Inc. | 1 | $22 |
| Bioventus LLC | 1 | $21 |
| Aroa Biosurgery Incorporated | 1 | $19 |
| Nevro Corp. | 1 | $19 |
| Novartis | 1 | $17 |
| Pacira Pharmaceuticals Incorporated | 1 | $15 |
| Coastal Medical Technologies LLC | 1 | $15 |
| BREG, Inc | 1 | $13 |
| Amgen | 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.
- SEAL$39,449
- LAPIPLASTY SYSTEM 1$36,280
- DynaNail$12,310
- NEXIS$11,099
- Lapiplasty System$9,568
- DynaNail Mini$4,417
- Medical Implant$1,625
- VARIAX$1,620
- ALLOWRAP$1,096
- Lapiplasty$1,078
- DynaNail Hybrid$1,017
- Arsenal Ankle$967
- TL-HEX$946
- TrueLok Ring Fixation System$946
- HOFFMANN$926
- GMRS$477
- TMC NANOPLASTY SYSTEM$360
- ANCHORAGE$308
- Stravix$254
- SALVATION$252
How this compares
$223,550 in reported general payments places this provider in the 95th percentile of 850 foot & ankle surgery providers in Florida.
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 |
|---|---|---|
| Celecoxib | 47 | $2,703 |
| Pregabalin | 24 | $1,423 |
| Gabapentin | 124 | $917 |
| Ciclopirox | 43 | $798 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 86 | $410 |
| Methylprednisolone | 56 | $364 |
| Ciprofloxacin Hcl | 12 | $273 |
| Doxycycline Hyclate | 24 | $178 |
| Meloxicam | 58 | $159 |
| Ibuprofen | 11 | $80 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $53 |
| Tramadol Hcl | 11 | $32 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Trinity
- Thomas SangiovanniCoral Gables$2.1M
- Shayne JensenPanama City$1.3M
- Thomas RoukisOrlando$1M
- Craig BreslauerStuart$971K
- Bradley LammWest Palm Beach$861K
- Amber ShaneOrlando$830K
- Jonathan BlumKissimmee$785K
- Mario CalaHialeah$541K
- Christopher ReevesLake Mary$424K
- Ettore VulcanoMiami Beach$411K
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.