Theodore Spires, DPM
Foot & Ankle Surgery · New Albany, INNPI 1326303603
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $10,000 of the $14,225 with a category attached, or 70.3%. 41 manufacturers reported payments, led by Stryker at 33.3% of the total. Reporting peaked in 2019 at $4,919 and has fallen 68.2% since, to $1,564 in 2025.
Across 208 payments — averaging $68.39 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Alpha Orthopedic Systems$2K
- Integra Lifesciences Corporation$1K
- Smith+Nephew$945
- Medline Industries LP$632
- Misonix Inc$503
- plus $4K from 35 others
What the payments were for
- Speaking & faculty fees$2472%
- Travel & lodging$2,16815%
- Food & beverage$10,00070%
- Education$1,81013%
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) | 48 | $4,740 |
| Alpha Orthopedic Systems | 8 | $2,055 |
| Integra Lifesciences Corporation | 15 | $1,236 |
| Smith+Nephew | 37 | $945 |
| Medline Industries LP | 5 | $632 |
| Misonix Inc | 13 | $503 |
| Johnson & Johnson | 6 | $394 |
| Inari Medical, Inc. | 2 | $357 |
| Zimmer Biomet | 7 | $306 |
| Convatec Inc. | 3 | $265 |
| Bioventus LLC | 4 | $255 |
| Acera Surgical, Inc. | 3 | $218 |
| Pacira Therapeutics, Inc. | 12 | $203 |
| Nevro Corp. | 3 | $182 |
| Bone Support Inc. | 2 | $159 |
| Lifenet Health | 1 | $144 |
| Organogenesis Inc. | 3 | $142 |
| Sanara Medtech Inc. | 1 | $141 |
| Ossio Inc | 1 | $135 |
| Kerecis Limited | 2 | $128 |
| Celularity Inc. | 1 | $123 |
| Baxter Healthcare | 1 | $121 |
| Orthofix Medical, Inc. | 4 | $109 |
| Arteriocyte Medical Systems, Inc. | 1 | $109 |
| Tactile Systems Technology Inc | 1 | $108 |
| Medartis Inc. | 2 | $101 |
| Amgen | 6 | $90 |
| Pacira Pharmaceuticals Incorporated | 2 | $51 |
| Life Spine, Inc. | 1 | $32 |
| Osteomed LLC | 1 | $30 |
| Radius Health, Inc. | 2 | $29 |
| Heron Therapeutics, Inc. | 1 | $29 |
| Averitas Pharma Inc. | 1 | $24 |
| Aroa Biosurgery Incorporated | 1 | $24 |
| Vertex | 1 | $22 |
| Paragon 28, Inc. | 1 | $18 |
| Medacta USA, Inc. | 1 | $15 |
| Urgo Medical North America, LLC | 1 | $15 |
| Zyla Life Sciences, Inc. | 1 | $14 |
| Triad Life Sciences Inc. | 1 | $12 |
| Arthrosurface Incorporated | 1 | $12 |
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.
- INFINITY$1,824
- INTEGRA$1,520
- INBONE$808
- INTEGRA DERMAL REGENERATION TEMPLATE$507
- PRIMATRIX$507
- Stravix$369
- FLOWTRIEVER CATHETER, S$357
- CT THROMBECTOMY SYSTEM KIT$357
- ORTHOLOC 2 LAPIFUSE$302
- GRAFIX PL$244
- NA$240
- CARTIVA$210
- AXSOS$174
- AUGMENT INJECTABLE$171
- Restrata Wound Matrix$156
- ORTHOLOC$150
- TheraSkin$147
- TheraGenesis Wound Matrix$144
- CellerateRx$141
- Senza$138
How this compares
$14,225 in reported general payments places this provider in the 80th percentile of 212 foot & ankle surgery providers in Indiana.
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 | 62 | $379 |
| Methylprednisolone | 74 | $257 |
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 13 | $235 |
| Doxycycline Hyclate | 21 | $177 |
| Ciprofloxacin Hcl | 11 | $49 |
| Mupirocin | 14 | $21 |
| Cyclobenzaprine Hcl | 20 | $19 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in New Albany
- Donald AnsertNew Albany$18K
- Jonathan PrimeNew Albany$12K
- Steven HerbstMuncie$1.6M
- Douglas BlacklidgeKokomo$689K
- Patrick DeheerIndianapolis$493K
- Scott NevilleMooresville$353K
- Travis MontgomeryWestfield$345K
- Robert Clemency IiiSchererville$215K
- William AdamsGreenfield$178K
- Steven DouthettFort Wayne$153K
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.