Stuart Michnick, MD
Foot and Ankle Surgery · Denton, TXNPI 1053653360
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (41.8%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Acumed LLC accounts for 85.3% of it on its own, with 15 other manufacturers making up the rest. 2025 is the largest year on record at $60,871, more than ten times the $2,246 reported in 2019. Among foot and ankle surgery clinicians in TX with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 388 payments — averaging $276.46 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Acumed LLC$92K
- Pylant Medical$7K
- Arthrex$4K
- Stryker$3K
- Johnson & Johnson$612
- Vilex LLC$267
- plus $702 from 10 others
What the payments were for
- Consulting fees$37,19635%
- Speaking & faculty fees$44,82542%
- Travel & lodging$11,63911%
- Food & beverage$8,6938%
- Education$4,9125%
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 |
|---|---|---|
| Acumed LLC | 94 | $91,521 |
| Pylant Medical | 50 | $7,116 |
| Arthrex | 67 | $4,404 |
| Stryker(2 entities) | 131 | $2,644 |
| Johnson & Johnson | 18 | $612 |
| Vilex LLC | 1 | $267 |
| Restor3d, Inc. | 1 | $207 |
| Integra Lifesciences Corporation | 3 | $123 |
| Medline Industries LP | 1 | $117 |
| Smith+Nephew | 2 | $82 |
| Paragon 28, Inc. | 15 | $52 |
| Anika Therapeutics, Inc. | 1 | $45 |
| Endo Pharmaceuticals Inc. | 1 | $21 |
| Osteomed LLC | 1 | $20 |
| Pacira Therapeutics, Inc. | 1 | $18 |
| Coopersurgical, Inc. | 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.
- ACUMED$187,786
- OsteoMed$62,721
- INnate Implant$4,551
- Calcaneal Plating System$842
- Acutrak Headless Compression Screw System$559
- Fibula Nail 2 System$559
- Cannulated Screw System$559
- Ankle Plating System$559
- STAR$462
- Fibula Rod System$283
- DYNEX$267
How this compares
$107,266 in reported general payments places this provider in the 95th percentile of 684 foot and 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 147 | $1,601 |
| Doxycycline Monohydrate | 16 | $209 |
| Tramadol Hcl | 23 | $82 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Denton
- Damien DauphineeDenton$70K
- 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
- Michael DowneySouthlake$475K
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.