Tyler Gonzalez
Foot and Ankle Surgery · Columbia, SCNPI 1750644290
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $339,027 of the $525,305 with a category attached, or 64.5%. 30 manufacturers reported payments, led by Treace Medical Concepts, Inc. at 51.2% of the total. 2025 is the largest year on record at $185,436, more than ten times the $7,425 reported in 2019. Among foot and ankle surgery clinicians in SC with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 556 payments — averaging $944.79 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Treace Medical Concepts, Inc.$269K
- Trilliant Surgical LLC.$92K
- Medshape, Inc.$54K
- Novastep Inc.$45K
- Stryker$30K
- Vilex LLC$19K
- plus $16K from 24 others
What the payments were for
- Royalty or licence$90,34717%
- Consulting fees$339,02765%
- Travel & lodging$83,41216%
- Food & beverage$12,2772%
- Education$2430%
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 |
|---|---|---|
| Treace Medical Concepts, Inc. | 212 | $268,694 |
| Trilliant Surgical LLC. | 63 | $92,040 |
| Medshape, Inc. | 69 | $53,764 |
| Novastep Inc. | 44 | $45,295 |
| Stryker(2 entities) | 102 | $30,448 |
| Vilex LLC | 24 | $19,193 |
| Surgical Fusion Inc. | 4 | $11,480 |
| Wishbone Medical Inc. | 1 | $1,800 |
| Peerless Surgical Inc. | 1 | $640 |
| Smith+Nephew | 4 | $306 |
| Southtech Orthopedics | 1 | $243 |
| Exactech, Inc. | 3 | $201 |
| Linvatec Corporation | 2 | $177 |
| Encore Medical, LP | 2 | $161 |
| Biopro, Inc. | 2 | $157 |
| Illuminoss Medical, Inc. | 1 | $118 |
| Bioventus LLC | 5 | $109 |
| Zimmer Biomet | 3 | $106 |
| Johnson & Johnson | 2 | $65 |
| Polynovo North America LLC | 1 | $50 |
| Kerecis Limited | 1 | $40 |
| Medline Industries LP | 1 | $33 |
| Organogenesis Inc. | 1 | $32 |
| Flower Orthopedics Coporation | 1 | $31 |
| Cerapedics Inc. | 1 | $24 |
| Kedrion Biopharma, Inc. | 1 | $22 |
| Acera Surgical, Inc. | 1 | $22 |
| Biocomposites Inc | 1 | $20 |
| Anika Therapeutics, Inc. | 1 | $17 |
| Biotissue Holdings Inc. | 1 | $16 |
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.
- LAPIPLASTY SYSTEM 1$147,607
- Lapiplasty System$116,244
- Arsenal Ankle 10 Hole 1/3 Tubular Plate$42,396
- DynaNail$41,253
- DynaNail Helix, Washer, 15 mm$34,361
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm$31,869
- Arsenal Sinus Support Plate$26,390
- PECA Bunion Correction System$22,833
- PECA-C Compressive Implants$11,250
- PROstep$10,743
- PROPHECY$10,000
- PECAPLASTY$9,838
- ZADEX$9,269
- 2.0mm x 26mm Tiger Cannulated Screw$7,965
- 7 X 23MM CITRELOCK IMPLANT$7,446
- CITREFIX$7,446
- Artemis Zadex$6,915
- SUPRAFUSION$6,600
- DynaNail Mini$3,742
- DynaNail Hybrid$2,543
How this compares
$525,305 in reported general payments places this provider in the 95th percentile of 87 foot and ankle surgery providers in South Carolina.
See all foot and ankle surgery providers in South Carolina →
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 |
|---|---|---|
| Doxycycline Hyclate | 28 | $265 |
| Meloxicam | 41 | $126 |
| Prednisone | 16 | $24 |
Paid to pharmacies, not to this prescriber.
Other foot and ankle surgery in Columbia
- William JamesColumbia$222K
- Carly ChapmanColumbia$3K
- Brandon BrooksColumbia$2K
- Benjamin OverleyHilton Head Island$643K
- Alison GartenRock Hill$419K
- Christopher GrossCharleston$394K
- Robert KleinGreenville$358K
- William HarrisLancaster$203K
- Alexander PappasMyrtle Beach$104K
- John WomackGreenville$96K
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.