Ruben Mechell
Foot & Ankle Surgery · Tacoma, WANPI 1467772863
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,622 of the $6,190 with a category attached, or 74.7%. 29 manufacturers reported payments, led by Stryker at 40.1% of the total. Reporting peaked in 2020 at $2,159 and has fallen 96.8% since, to $69 in 2023.
Across 202 payments — averaging $30.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$2K
- Medinc Of Texas$854
- Arthrex$802
- Smith+Nephew$518
- Amgen$363
- Sandoz$166
- plus $1K from 23 others
What the payments were for
- Food & beverage$4,62275%
- Education$1,56825%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 64 | $2,485 |
| Medinc Of Texas | 1 | $854 |
| Arthrex | 2 | $802 |
| Smith+Nephew | 33 | $518 |
| Amgen | 28 | $363 |
| Sandoz | 11 | $166 |
| Paratek Pharmaceuticals, Inc. | 6 | $109 |
| Bioventus LLC | 4 | $75 |
| Treace Medical Concepts, Inc. | 5 | $74 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 4 | $63 |
| Kerecis Limited | 2 | $61 |
| KCI USA, Inc. | 2 | $59 |
| AbbVie | 3 | $58 |
| Triad Life Sciences Inc. | 2 | $56 |
| Organogenesis Inc. | 7 | $52 |
| GRT US Holding, Inc. | 5 | $46 |
| Medtronic | 2 | $44 |
| Zyla Life Sciences, Inc. | 3 | $40 |
| Merck | 3 | $37 |
| Baudax Bio Inc. | 2 | $36 |
| Fidia Pharma USA Inc. | 4 | $36 |
| Heron Therapeutics, Inc. | 2 | $32 |
| Acera Surgical, Inc. | 1 | $30 |
| Sebela Pharmaceuticals Inc. | 1 | $20 |
| Melinta Therapeutics, LLC | 1 | $18 |
| Medline Industries LP | 1 | $16 |
| Journey Medical Corporation | 1 | $15 |
| Assertio Therapeutics, Inc. | 1 | $13 |
| Nabriva Therapeutics, PLC | 1 | $13 |
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.
How this compares
$6,190 in reported general payments places this provider in the 75th percentile of 203 foot & ankle surgery providers in Washington.
Other foot & ankle surgery in Tacoma
- Hossein PakzadsedighTacoma$10K
- Timothy ChanTacoma$7K
- Jeffrey ChristensenEverett$828K
- David DalstromSeattle$491K
- Richard LamourOlympia$87K
- Adam AlbabaSeattle$46K
- Stephen BenirschkeSeattle$45K
- Craig CliffordFederal Way$44K
- Shawn KhademiRenton$43K
- Gregory GrabowskiBellevue$34K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.