Walter Butler
Foot & Ankle Surgery · Memphis, TNNPI 1932337664
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (37.5%), other and consulting fees — rather than concentrated in one kind of arrangement. 27 manufacturers reported payments, led by Johnson & Johnson at 34.0% of the total. Reporting peaked in 2022 at $63,472 and has fallen 59.8% since, to $25,547 in 2025. Among foot & ankle surgery clinicians in TN 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 187 payments — averaging $1021.90 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$65K
- Crossroads Extremity Systems, LLC$53K
- Linvatec Corporation$52K
- Arthrex$10K
- Gentleman Orthopedic Solutions$7K
- Medical Device Business Services, Inc.$1K
- plus $2K from 21 others
What the payments were for
- Royalty or licence$71,74938%
- Consulting fees$44,07523%
- Speaking & faculty fees$13,0007%
- Travel & lodging$2,5841%
- Food & beverage$4,0562%
- Education$3,4672%
- Other$52,16527%
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 |
|---|---|---|
| Johnson & Johnson | 23 | $65,064 |
| Crossroads Extremity Systems, LLC | 60 | $52,600 |
| Linvatec Corporation | 5 | $52,165 |
| Arthrex | 9 | $10,385 |
| Gentleman Orthopedic Solutions | 14 | $7,211 |
| Medical Device Business Services, Inc. | 1 | $1,350 |
| Synthes USA Products LLC | 1 | $600 |
| Stryker(2 entities) | 7 | $365 |
| Amgen(2 entities) | 13 | $220 |
| Paratek Pharmaceuticals, Inc. | 16 | $215 |
| Treace Medical Concepts, Inc. | 3 | $150 |
| AbbVie | 7 | $132 |
| Ortho Dermatologics, A Division Of Bausch Health US, LLC | 6 | $125 |
| Smith+Nephew | 4 | $116 |
| Bioventus LLC | 3 | $70 |
| Theramicro, Inc. | 1 | $59 |
| Averitas Pharma Inc. | 2 | $44 |
| Orthofix Medical, Inc. | 2 | $42 |
| Nevro Corp. | 2 | $37 |
| Medtronic | 1 | $31 |
| Vertex | 1 | $25 |
| Acera Surgical, Inc. | 1 | $24 |
| Abbott | 1 | $18 |
| Assertio Therapeutics, Inc. | 1 | $14 |
| GRT US Holding, Inc. | 1 | $13 |
| Sandoz | 1 | $12 |
| Cashflow Solutions, LLC | 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.
How this compares
$191,096 in reported general payments places this provider in the 95th percentile of 145 foot & ankle surgery providers in Tennessee.
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 | 77 | $892 |
| Methylprednisolone | 35 | $200 |
| Pregabalin | 11 | $195 |
| Colchicine | 13 | $181 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 27 | $152 |
| Meloxicam | 35 | $118 |
| Mupirocin | 13 | $82 |
| Tramadol Hcl | 12 | $79 |
| Allopurinol | 14 | $79 |
| Promethazine Hcl | 16 | $60 |
| Terbinafine Hcl | 11 | $56 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 12 | $38 |
| Diclofenac Sodium | 12 | $21 |
Paid to pharmacies, not to this prescriber.
Other foot & ankle surgery in Memphis
- Frank OgnibeneMemphis$148K
- Clayton BettinMemphis$89K
- Tyler FraserMemphis$30K
- William HesterMemphis$20K
- Jesse TrentMemphis$12K
- Sebastien DemoinyMorristown$210K
- Robert ThompsonMurfreesboro$205K
- Bhekumuzi KhumaloUnion City$201K
- Chad WebsterCordova$185K
- Christian SmithCordova$153K
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.