Samual Gracey, DPM
Foot & Ankle Surgery · Shepherdsville, KYNPI 1386028066
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $11,734 of the $18,561 with a category attached, or 63.2%. 38 manufacturers reported payments, led by Stryker at 45.5% of the total. Reporting peaked in 2020 at $5,018 and has fallen 80.2% since, to $994 in 2025.
Across 468 payments — averaging $39.66 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$8K
- Vilex LLC$4K
- Smith+Nephew$2K
- Medical Device Business Services, Inc.$740
- Organogenesis Inc.$669
- Misonix Inc$642
- plus $3K from 32 others
What the payments were for
- Speaking & faculty fees$1471%
- Travel & lodging$6,28934%
- Food & beverage$11,73463%
- Education$3922%
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(2 entities) | 147 | $8,439 |
| Vilex LLC | 17 | $3,757 |
| Smith+Nephew | 141 | $1,576 |
| Medical Device Business Services, Inc. | 5 | $740 |
| Organogenesis Inc. | 25 | $669 |
| Misonix Inc | 35 | $642 |
| Alpha Orthopedic Systems | 2 | $414 |
| KCI USA, Inc. | 9 | $397 |
| Johnson & Johnson | 11 | $326 |
| Integra Lifesciences Corporation | 16 | $235 |
| Kerecis Limited | 3 | $151 |
| Celularity Inc. | 2 | $123 |
| AbbVie(2 entities) | 7 | $109 |
| Arteriocyte Medical Systems, Inc. | 1 | $109 |
| Blue Surgical LLC | 3 | $67 |
| Tactile Systems Technology Inc | 4 | $67 |
| Orthofix Medical, Inc. | 3 | $67 |
| Bioventus LLC | 4 | $62 |
| Paratek Pharmaceuticals, Inc. | 3 | $57 |
| Paragon 28, Inc. | 4 | $56 |
| Sanara Medtech Inc. | 3 | $55 |
| Zimmer Biomet | 3 | $46 |
| Solventum Corporation | 2 | $43 |
| Axogen | 1 | $40 |
| Acera Surgical, Inc. | 2 | $40 |
| Nevro Corp. | 2 | $37 |
| Treace Medical Concepts, Inc. | 1 | $27 |
| Avita Medical Americas, LLC | 1 | $26 |
| Zyla Life Sciences, Inc. | 2 | $23 |
| Convatec Inc. | 1 | $23 |
| Averitas Pharma Inc. | 1 | $21 |
| Medline Industries LP | 1 | $20 |
| Bone Support Inc. | 1 | $20 |
| Bsn Medical Inc | 1 | $18 |
| Medtronic | 1 | $18 |
| Aroa Biosurgery Incorporated | 1 | $17 |
| Access Pro Medical, LLC | 1 | $13 |
| Reprise Biomedical, Inc. | 1 | $11 |
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.
- HINTERMANN$3,101
- NONE$1,612
- HOFFMANN$950
- VARIAX$652
- VA-LCP PLATES & SCREWS$651
- ANCHORAGE$469
- AUGMENT INJECTABLE$328
- ORTHOLOC 2 LAPIFUSE$290
- GRAFIX PL$272
- INBONE$261
- PuraPly$234
- T2$164
- STRAVIX PL$147
- OASIS MICRO$147
- TheraSkin$147
- ORTHOLOC$139
- ORTHOLOC 3DI$137
- SALVATION$137
- BIO4$136
- PREVENA$133
How this compares
$18,561 in reported general payments places this provider in the 85th percentile of 141 foot & ankle surgery providers in Kentucky.
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 |
|---|---|---|
| Gabapentin | 113 | $1,169 |
| Pregabalin | 14 | $715 |
| Ketoconazole | 27 | $603 |
| Cephalexin | 16 | $286 |
| Ciclopirox | 11 | $243 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 12 | $120 |
| Meloxicam | 18 | $101 |
| Triamcinolone Acetonide | 22 | $70 |
| Mupirocin | 19 | $50 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Shepherdsville
- Christopher HubbardShepherdsville$6K
- William Adams IiPaducah$485K
- Sofie PinneyCynthiana$130K
- Carl KihmLouisville$89K
- Bradford FineLexington$82K
- Nicholas LacoLouisville$60K
- Jay LechnerLouisville$29K
- Russell BakerCarrollton$27K
- William McGloneLouisville$26K
- Timothy FordLouisville$26K
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.