Shiori Takashima
Foot & Ankle Surgery · Frisco, TXNPI 1407483647
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (46.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 23.5%. Reporting peaked in 2023 at $4,227 and has fallen 62.4% since, to $1,590 in 2025.
Across 103 payments — averaging $106.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Medwest Associates$2K
- Orthofix Medical, Inc.$2K
- Medical Device Business Services, Inc.$1K
- Smith+Nephew$882
- Johnson & Johnson$487
- plus $1K from 11 others
What the payments were for
- Travel & lodging$3,48032%
- Food & beverage$5,09646%
- Education$2,40022%
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 | 29 | $2,582 |
| Medwest Associates | 5 | $2,452 |
| Orthofix Medical, Inc. | 17 | $1,865 |
| Medical Device Business Services, Inc. | 12 | $1,327 |
| Smith+Nephew | 11 | $882 |
| Johnson & Johnson | 6 | $487 |
| Amgen(2 entities) | 8 | $486 |
| Integra Lifesciences Corporation | 4 | $319 |
| Medline Industries LP | 1 | $161 |
| Linvatec Corporation | 1 | $100 |
| Vaporox, Inc. | 2 | $86 |
| Treace Medical Concepts, Inc. | 1 | $78 |
| Pylant Medical | 2 | $62 |
| Averitas Pharma Inc. | 1 | $30 |
| Curonix LLC | 1 | $25 |
| Paratek Pharmaceuticals, Inc. | 1 | $18 |
| Nevro Corp. | 1 | $15 |
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$2,715
- PROstep$1,109
- INTEGRA$788
- KRYSTEXXA$463
- MOTOBAND$391
- AUGMENT INJECTABLE$288
- Hat-Trick$281
- INTEGRA DERMAL REGENERATION TEMPLATE$263
- PRIMATRIX$263
- CITREFIX$229
- FLEXBAND$173
- N/A$151
- Bone Anchors with Arthroscopic Delivery System$139
- GRAFTJACKET$131
How this compares
$10,976 in reported general payments places this provider in the 75th percentile of 684 foot & ankle surgery providers in Texas.
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.
Other foot & ankle surgery in Frisco
- Leroy ButlerFrisco$117K
- Toritsenere OnosodeFrisco$55K
- William McGarveyKaty$3.5M
- Eugene CurryDallas$3.1M
- Graham HamiltonEdinburg$2.1M
- Mark DaltonAustin$1.9M
- Kevin VarnerHouston$1.1M
- Paul KimDallas$928K
- Sherman NaglerHouston$602K
- John EarlyDallas$553K
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.