Troy Shepherd, DPM
Foot & Ankle Surgery · Alamogordo, NMNPI 1376898437
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 42 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 9 manufacturers reported payments, led by Smith+Nephew at 35.7% of the total. Reporting peaked in 2021 at $359 and has fallen 84.9% since, to $54 in 2025. That places this record below the midpoint for foot & ankle surgery clinicians in NM, where the typical reported total is $2,589.
Across 42 payments — averaging $21.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$325
- Abbott$213
- Reapplix Inc.$160
- Boston Scientific$109
- Tactile Systems Technology Inc$28
- Organogenesis Inc.$26
- plus $49 from 3 others
What the payments were for
- Food & beverage$910100%
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 | 19 | $325 |
| Abbott | 10 | $213 |
| Reapplix Inc. | 4 | $160 |
| Boston Scientific | 1 | $109 |
| Tactile Systems Technology Inc | 2 | $28 |
| Organogenesis Inc. | 2 | $26 |
| Zimmer Biomet | 1 | $24 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 1 | $14 |
| Orthofix Medical, Inc. | 2 | $11 |
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.
- JETSTREAM$109
How this compares
$910 in reported general payments places this provider in the 30th percentile of 69 foot & ankle surgery providers in New Mexico.
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 |
|---|---|---|
| Clotrimazole-BetamethasoneClotrimazole/Betamethasone Dip | 373 | $9,773 |
| Ciclopirox | 125 | $3,555 |
| Cephalexin | 110 | $2,076 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 65 | $1,257 |
| Mupirocin | 117 | $1,151 |
| Terbinafine Hcl | 61 | $565 |
| Levofloxacin | 13 | $440 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 44 | $412 |
| Celecoxib | 21 | $273 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 24 | $224 |
| Doxycycline Hyclate | 17 | $174 |
| Gabapentin | 17 | $172 |
| Ondansetron Hcl | 20 | $139 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Alamogordo
- Jacob JonesAlamogordo$9K
- Kavin LombardiAlamogordo$7K
- Laramie TescherAlamogordo$1K
- Sarah WilmotAlamogordo$861
- Joshua WolfeLas Cruces$55K
- Adam GoughSilver City$44K
- Ruben NunezLas Vegas$31K
- Alexander RamirezLas Vegas$22K
- Harsh AminLas Vegas$18K
- Stephanie GonzalezLas Cruces$15K
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.