Timothy Vinyard, MD
Sports Medicine · Johnston, IANPI 1619185907
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,301 of the $3,059 with a category attached, or 75.2%. Smith+Nephew accounts for 64.3% of it on its own, with 9 other manufacturers making up the rest. Reporting peaked in 2023 at $1,082 and has fallen 71.7% since, to $306 in 2025.
Across 36 payments — averaging $84.96 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$2K
- Stryker$307
- Zimmer Biomet$233
- Johnson & Johnson$220
- Wardlow Enterprises$157
- Prism Medical$99
- plus $74 from 4 others
What the payments were for
- Travel & lodging$75725%
- Food & beverage$2,30175%
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 |
|---|---|---|
| Smith+Nephew | 15 | $1,968 |
| Stryker | 3 | $307 |
| Zimmer Biomet | 3 | $233 |
| Johnson & Johnson | 8 | $220 |
| Wardlow Enterprises | 1 | $157 |
| Prism Medical | 1 | $99 |
| Vericel Corporation | 2 | $37 |
| Pacira Pharmaceuticals Incorporated | 1 | $20 |
| Pacira Therapeutics, Inc. | 1 | $13 |
| ERMI LLC | 1 | $3 |
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.
- Meniscal Root Repair System$446
- Meniscus Mender II$314
- Meniscal Stitcher Set$314
- MAKO$255
- LENS 4K$149
- Regeneten$147
- REAL INTELLIGENCE$145
- N/A$144
- FIRSTPASS MINI$131
- Biosure$131
- MULTIFIX S$131
How this compares
$3,059 in reported general payments places this provider in the 60th percentile of 33 sports medicine providers in Iowa.
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 |
|---|---|---|
| Meloxicam | 36 | $60 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Johnston
- Annunziato AmendolaIowa City$982K
- Brian WolfIowa City$298K
- Blake BodendorferCouncil Bluffs$95K
- John HartCedar Rapids$37K
- Mederic HallIowa City$26K
- Emile LiFort Dodge$25K
- Matthew BollierIowa City$22K
- Kristyn DarmafallDavenport$17K
- Bruno VaroneIowa City$13K
- Austin RammeNorth Liberty$12K
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.