Ryan Putnam, MD
Orthopaedic Surgery · Roanoke, VANPI 1043369853
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $216,915 of the $257,571 with a category attached, or 84.2%. Treace Medical Concepts, Inc. accounts for 91.4% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2023 at $76,608 and has fallen 74.9% since, to $19,250 in 2025. Among orthopaedic surgery clinicians in VA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 199 payments — averaging $1294.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$236K
- Amniox Medical, Inc.$17K
- Biotissue Holdings Inc.$3K
- Hydrocision, Inc.$2K
- Sanara Medtech Inc.$125
- Kerecis Limited$91
- plus $153 from 5 others
What the payments were for
- Consulting fees$216,91584%
- Speaking & faculty fees$3,4751%
- Travel & lodging$33,43213%
- Food & beverage$3,7491%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 169 | $235,542 |
| Amniox Medical, Inc. | 13 | $16,768 |
| Biotissue Holdings Inc. | 2 | $3,175 |
| Hydrocision, Inc. | 5 | $1,718 |
| Sanara Medtech Inc. | 1 | $125 |
| Kerecis Limited | 1 | $91 |
| Fortis Surgical, LLC | 2 | $46 |
| Integra Lifesciences Corporation | 2 | $43 |
| Stryker | 2 | $29 |
| Smith+Nephew | 1 | $20 |
| Globus Medical | 1 | $16 |
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.
- Lapiplasty System$213,660
- NEOX$19,875
- CLARIX$19,875
- LAPIPLASTY SYSTEM 1$16,785
- TenJet$1,650
- SpineJet$1,650
- AlloJet$1,650
- Lapiplasty$1,595
- TMC SPEEDTMT$221
- CellerateRx$125
How this compares
$257,571 in reported general payments places this provider in the 90th percentile of 473 orthopaedic surgery providers in Virginia.
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 |
|---|---|---|
| Diclofenac Sodium | 58 | $1,451 |
| Tramadol Hcl | 11 | $40 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Roanoke
- Thomas ShulerRoanoke$89K
- Shahbaaz SabriRoanoke$45K
- Dale YoungNorth Chesterfield$10.9M
- James DowdVirginia Beach$6.1M
- Mark de BloisNorth Chesterfield$4M
- Cato LaurencinCharlottesville$3.5M
- Randall PeytonSterling$2.9M
- William MihalkoCharlottesville$2M
- David MillerNorth Chesterfield$1.7M
- Keith LawhornFairfax$1.6M
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.