Timothy Gueramy, MD
Foot and Ankle Surgery · Gunnison, CONPI 1720019060
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $8,000 of the $11,158 with a category attached, or 71.7%. International Life Sciences accounts for 94.4% of it on its own, with 5 other manufacturers making up the rest. 2024 is the largest year on record at $9,019, more than ten times the $184 reported in 2019.
Across 17 payments — averaging $656.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- International Life Sciences$11K
- Smith+Nephew$164
- Paragon 28, Inc.$155
- Alliance Medical$150
- Integra Lifesciences Corporation$113
- Restor3d, Inc.$38
What the payments were for
- Consulting fees$8,00072%
- Travel & lodging$2,50622%
- Food & beverage$6526%
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 |
|---|---|---|
| International Life Sciences | 7 | $10,538 |
| Smith+Nephew | 2 | $164 |
| Paragon 28, Inc. | 3 | $155 |
| Alliance Medical | 1 | $150 |
| Integra Lifesciences Corporation | 3 | $113 |
| Restor3d, Inc. | 1 | $38 |
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.
- FLEXBAND$8,669
How this compares
$11,158 in reported general payments places this provider in the 80th percentile of 181 foot and ankle surgery providers in Colorado.
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 | 56 | $473 |
| Tramadol Hcl | 41 | $270 |
| Cephalexin | 29 | $214 |
| Promethazine Hcl | 20 | $94 |
| Ondansetron Hcl | 18 | $84 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Gunnison
- Michael HoughtonFort Collins$2M
- Joshua MetzlEnglewood$1.8M
- Brad DresherColorado Springs$1.3M
- Thomas ClantonVail$1.1M
- Brett SachsWheat Ridge$806K
- Jeffrey LehrmanFort Collins$628K
- Kevin NagamaniDenver$288K
- Keith JacobsonDenver$241K
- William MontrossColorado Springs$238K
- Dustin KruseWheat Ridge$217K
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.