Shirley Visser, DPM
Foot & Ankle Surgery · Creve Coeur, MONPI 1366697906
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (43.8%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 34 manufacturers reported payments, led by Elite Orthopedics, LLC at 33.9% of the total. Reporting peaked in 2022 at $5,517 and has fallen 91.3% since, to $477 in 2025.
Across 177 payments — averaging $72.56 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Elite Orthopedics, LLC$4K
- Arthrex$4K
- Smith+Nephew$1K
- Stryker$1K
- Organogenesis Inc.$625
- Zimmer Biomet$151
- plus $1K from 28 others
What the payments were for
- Travel & lodging$2,62420%
- Food & beverage$4,59636%
- Education$5,62444%
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 |
|---|---|---|
| Elite Orthopedics, LLC | 12 | $4,354 |
| Arthrex | 14 | $3,935 |
| Smith+Nephew | 45 | $1,494 |
| Stryker(2 entities) | 11 | $1,022 |
| Organogenesis Inc. | 36 | $625 |
| Zimmer Biomet | 3 | $151 |
| ETS Wound Care LLC | 7 | $130 |
| Kerecis Limited | 5 | $127 |
| Paratek Pharmaceuticals, Inc. | 7 | $112 |
| Paragon 28, Inc. | 1 | $90 |
| Medtronic | 4 | $81 |
| Tactile Systems Technology Inc | 5 | $74 |
| Polarityte, Inc. | 1 | $72 |
| Vaporox, Inc. | 1 | $66 |
| KCI USA, Inc. | 1 | $60 |
| Bioventus LLC | 2 | $54 |
| Vertex | 2 | $47 |
| Celularity Inc. | 3 | $46 |
| Hydrofera LLC | 1 | $27 |
| Aroa Biosurgery Incorporated | 2 | $24 |
| Mimedx Group, Inc. | 1 | $23 |
| ERMI LLC | 1 | $21 |
| Advanced Oxygen Therapy Inc. | 1 | $21 |
| Abbott | 1 | $21 |
| CPM Medical Consultants, LLC | 1 | $20 |
| Hartmann USA, Inc. | 1 | $20 |
| Ossdsign USA Incorporated | 1 | $20 |
| Solventum Corporation | 1 | $18 |
| Integra Lifesciences Corporation | 1 | $18 |
| Axogen | 1 | $17 |
| Acell, Inc. | 1 | $16 |
| Melinta Therapeutics, LLC | 1 | $15 |
| Orthofix Medical, Inc. | 1 | $11 |
| Cashflow Solutions, LLC | 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.
- Versajet$410
- Grafix$409
- Oasis$409
- STRAVIX PL$409
- PROSTEP MICA$161
- ORTHOLOC 2 LAPIFUSE$152
- AXS INFINITY LS$152
- CITREFIX$151
- SALVATION$143
- Juggerknot$122
- VITOSS$122
- AUGMENT$110
How this compares
$12,843 in reported general payments places this provider in the 70th percentile of 163 foot & ankle surgery providers in Missouri.
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 |
|---|---|---|
| Doxycycline Monohydrate | 70 | $938 |
| Clobetasol Propionate | 22 | $740 |
| Gentamicin Sulfate | 23 | $736 |
| Gabapentin | 34 | $402 |
| Ketoconazole | 15 | $354 |
| Ciclopirox | 12 | $331 |
| Terbinafine Hcl | 22 | $264 |
| Methylprednisolone | 24 | $162 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 11 | $146 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $95 |
| Cephalexin | 17 | $80 |
| Mupirocin | 14 | $65 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Creve Coeur
- Carmina QuirogaCreve Coeur$23K
- Harry VisserCreve Coeur$21K
- Krystle ScottCreve Coeur$13K
- Jared VisserCreve Coeur$13K
- Jeremy McCormickSaint Louis$1.5M
- Jeffrey JohnsonSaint Louis$944K
- Timothy BadweyKansas City$427K
- Raymond AbdoSaint Louis$251K
- Vincent SollecitoSaint Louis$221K
- Amar PatelLees Summit$203K
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.