Stephen Mielech, DPM
Foot & Ankle Surgery · Southgate, KYNPI 1326047903
Payments from drug & device makers
Across 43 payments — averaging $22.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$150
- Paragon 28, Inc.$148
- IBSA Pharma Inc.$93
- Paratek Pharmaceuticals, Inc.$86
- Johnson & Johnson$71
- Zimmer Biomet$55
- plus $383 from 17 others
What the payments were for
- Food & beverage$987100%
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) | 2 | $150 |
| Paragon 28, Inc. | 3 | $148 |
| IBSA Pharma Inc. | 5 | $93 |
| Paratek Pharmaceuticals, Inc. | 6 | $86 |
| Johnson & Johnson | 3 | $71 |
| Zimmer Biomet | 3 | $55 |
| AbbVie | 2 | $46 |
| Nevro Corp. | 2 | $37 |
| Wound Management Technologies, Inc | 1 | $36 |
| Boston Scientific | 2 | $34 |
| Amgen | 2 | $30 |
| Organogenesis Inc. | 1 | $25 |
| Bioventus LLC | 1 | $24 |
| KCI USA, Inc. | 1 | $20 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $18 |
| Kerecis Limited | 1 | $18 |
| Cardiovascular Systems Inc. | 1 | $17 |
| Melinta Therapeutics, LLC | 1 | $16 |
| Merck | 1 | $15 |
| GRT US Holding, Inc. | 1 | $13 |
| Alfasigma USA, Inc. | 1 | $13 |
| Smith+Nephew | 1 | $11 |
| Acell, 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.
How this compares
$987 in reported general payments places this provider in the 20th 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.
Other foot & ankle surgery in Southgate
- Caron HarnerSouthgate$11K
- 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.