Ruben Nunez, DPM
Foot & Ankle Surgery · Las Vegas, NMNPI 1669036661
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (42.0%), travel and lodging and education — rather than concentrated in one kind of arrangement. 28 manufacturers reported payments, led by Stryker at 31.9% of the total. Reporting peaked in 2022 at $10,927 and has fallen 72.5% since, to $3,007 in 2025. Among foot & ankle surgery clinicians in NM 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 283 payments — averaging $108.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$10K
- Smith+Nephew$5K
- Novus Surgical Solutions LLC$4K
- Orthofix Medical, Inc.$3K
- Gemini Mountain Medical, LLC$3K
- Bioventus LLC$1K
- plus $5K from 22 others
What the payments were for
- Travel & lodging$11,81538%
- Food & beverage$12,90942%
- Education$6,00020%
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 | 110 | $9,806 |
| Smith+Nephew | 61 | $5,181 |
| Novus Surgical Solutions LLC | 9 | $4,086 |
| Orthofix Medical, Inc. | 34 | $2,863 |
| Gemini Mountain Medical, LLC | 3 | $2,745 |
| Bioventus LLC | 7 | $1,376 |
| DNE LLC | 1 | $619 |
| Avanos Medical | 6 | $569 |
| Organogenesis Inc. | 4 | $490 |
| Amgen(2 entities) | 5 | $488 |
| AbbVie | 9 | $431 |
| Musculoskeletal Transplant Foundation Inc. | 3 | $337 |
| KCI USA, Inc. | 4 | $264 |
| Integra Lifesciences Corporation | 3 | $165 |
| Treace Medical Concepts, Inc. | 4 | $149 |
| Mimedx Group, Inc. | 1 | $133 |
| Zimmer Biomet | 2 | $133 |
| Averitas Pharma Inc. | 3 | $131 |
| Pacira Pharmaceuticals Incorporated | 1 | $125 |
| SPR Therapeutics, Inc | 1 | $123 |
| Acumed LLC | 1 | $113 |
| Medtronic | 1 | $105 |
| Medical Device Business Services, Inc. | 3 | $96 |
| Alliance Medical | 1 | $84 |
| Nevro Corp. | 2 | $45 |
| Electronic Waveform Lab, Inc. | 2 | $44 |
| Johnson & Johnson | 1 | $15 |
| Kerecis Limited | 1 | $9 |
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.
- TrueLok$1,936
- Taylor Spatial Frame$1,869
- PROstep$1,830
- INBONE$1,610
- Stimrouter Implantable Kit$1,330
- Oasis$1,236
- SALTO TALARIS TOTAL ANKLE PROSTHESIS$1,196
- HOFFMANN$1,099
- Cadence$919
- SALVATION$910
- AUGMENT INJECTABLE$662
- SEAL$619
- INTEGRA$524
- ON-Q* PUMP AND ACCESSORIES$463
- VARIAX$403
- Panta 2$401
- Bone Anchors with Arthroscopic Delivery System$401
- KRYSTEXXA$375
- GRAFIX PL$373
- EVOS$328
How this compares
$30,724 in reported general payments places this provider in the 95th percentile of 69 foot & ankle surgery providers in New Mexico.
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 |
|---|---|---|
| Terbinafine Hcl | 32 | $491 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 35 | $354 |
| Doxycycline Hyclate | 12 | $124 |
| Meloxicam | 35 | $100 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $64 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Las Vegas
- Alexander RamirezLas Vegas$22K
- Harsh AminLas Vegas$18K
- Lindsy AllenLas Vegas$10K
- Joshua WolfeLas Cruces$55K
- Adam GoughSilver City$44K
- Stephanie GonzalezLas Cruces$15K
- Mark MargiottaAlbuquerque$12K
- Jason DunnAlbuquerque$10K
- Alexander JenksAlbuquerque$9K
- Marshall MonsonAlbuquerque$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.