Thomas Lyman, DPM
Foot & Ankle Surgery · Winfield, KSNPI 1861788275
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (39.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. 17 manufacturers reported payments, led by Titan Surgical Group, LLC at 33.4% of the total. Reporting peaked in 2019 at $1,801 and has fallen 92.9% since, to $128 in 2025.
Across 58 payments — averaging $95.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Titan Surgical Group, LLC$2K
- Pylant Medical$972
- Integra Lifesciences Corporation$807
- Treace Medical Concepts, Inc.$694
- Arthrex$468
- Stryker$250
- plus $509 from 11 others
What the payments were for
- Travel & lodging$2,04937%
- Food & beverage$1,33224%
- Education$2,17239%
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 |
|---|---|---|
| Titan Surgical Group, LLC | 6 | $1,853 |
| Pylant Medical | 1 | $972 |
| Integra Lifesciences Corporation | 9 | $807 |
| Treace Medical Concepts, Inc. | 8 | $694 |
| Arthrex | 4 | $468 |
| Stryker | 4 | $250 |
| Smith+Nephew | 12 | $225 |
| Organogenesis Inc. | 4 | $84 |
| Bioventus LLC | 2 | $38 |
| Biowound Solutions, Inc. | 1 | $36 |
| Osiris Therapeutics Inc. | 1 | $22 |
| Kerecis Limited | 1 | $20 |
| Apria Healthcare LLC | 1 | $20 |
| Heron Therapeutics, Inc. | 1 | $19 |
| Paratek Pharmaceuticals, Inc. | 1 | $17 |
| AbbVie | 1 | $16 |
| Zyla Life Sciences, Inc. | 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.
How this compares
$5,553 in reported general payments places this provider in the 65th percentile of 40 foot & ankle surgery providers in Kansas.
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 |
|---|---|---|
| Clindamycin Hcl | 15 | $129 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 19 | $128 |
| Methylprednisolone | 14 | $116 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 16 | $114 |
| Meloxicam | 35 | $56 |
| Cephalexin | 15 | $42 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Winfield
- Anthony ElliottWinfield$2K
- Greg HortonKansas City$1.1M
- Melissa JournotLeawood$26K
- Zhipeng YangKansas City$25K
- Patrick McGregorLawrence$24K
- Andrea DrielingHutchinson$16K
- John GalliganLawrence$12K
- Lucas CosensSalina$10K
- Sarah RussellLeawood$9K
- Scott GordonPratt$8K
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.