Troy Fowler
Foot & Ankle Surgery · Nampa, IDNPI 1235575044
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $4,760 of the $7,376 with a category attached, or 64.5%. 27 manufacturers reported payments, led by Stryker at 37.8% of the total.
Across 139 payments — averaging $53.06 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$3K
- Zimmer Biomet$2K
- Trilliant Surgical LLC.$837
- Abbott$606
- Kerecis Limited$347
- Mimedx Group, Inc.$190
- plus $831 from 21 others
What the payments were for
- Travel & lodging$2,61535%
- Food & beverage$4,76065%
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 | 59 | $2,785 |
| Zimmer Biomet | 22 | $1,779 |
| Trilliant Surgical LLC. | 5 | $837 |
| Abbott | 5 | $606 |
| Kerecis Limited | 9 | $347 |
| Mimedx Group, Inc. | 4 | $190 |
| Integra Lifesciences Corporation | 2 | $127 |
| Paragon 28, Inc. | 1 | $93 |
| Trimed, Inc. | 1 | $64 |
| Biowound Solutions, Inc. | 3 | $63 |
| Organogenesis Inc. | 4 | $49 |
| Smith+Nephew | 3 | $45 |
| Curonix LLC | 3 | $44 |
| Encore Medical, LP | 1 | $44 |
| Amgen(2 entities) | 3 | $43 |
| Fusion Orthopedics USA, LLC | 1 | $35 |
| Orthofix Medical, Inc. | 2 | $34 |
| Merck | 2 | $32 |
| Johnson & Johnson | 1 | $27 |
| Vertex | 1 | $26 |
| Medtronic | 1 | $18 |
| Sawtooth Surgical Solutions Inc | 1 | $17 |
| Averitas Pharma Inc. | 1 | $16 |
| AbbVie | 1 | $16 |
| Pacira Pharmaceuticals Incorporated | 1 | $14 |
| Arteriocyte Medical Systems, Inc. | 1 | $14 |
| Heron Therapeutics, Inc. | 1 | $10 |
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.
- PROstep$978
- CANNULATED SCREWS$628
- Kerecis Omega3 Marigen$459
- Arsenal$327
- Extremities Product Portfolio$317
- ANCHORAGE$228
- SUPERA$158
- Kerecis Omega3 SurgiClose$153
- Kerecis Omega3 GraftGuide$153
- Perclose ProGlide suture mediated closure system$145
- HOFFMANN$120
- Supera peripheral stent system$114
- PROSTEP MICA$102
- Nextremity MSP$100
How this compares
$7,376 in reported general payments places this provider in the 75th percentile of 49 foot & ankle surgery providers in Idaho.
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 |
|---|---|---|
| Gabapentin | 34 | $380 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 23 | $202 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 30 | $188 |
| Cephalexin | 15 | $177 |
| Terbinafine Hcl | 13 | $147 |
| Methylprednisolone | 18 | $98 |
| Meloxicam | 18 | $46 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Nampa
- Kaitlin NearyBoise$867K
- Dan RobinsonBlackfoot$170K
- Kurt KinghornMeridian$150K
- Steven RoserBoise$102K
- Bryan VandykeIdaho Falls$47K
- Jonathon WolfMeridian$22K
- Christopher ArenaCoeur D Alene$14K
- Karson HowardPocatello$14K
- Phillip BurkCaldwell$13K
- Jason DevriesTwin Falls$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.