Physician profile
Dalton M Ryba
NPI 1174986012
$154,360.95
in general payments reported to CMS, 2019-2025
43 companies · $29K in 2025
The $29K reported for 2025 was more than what 98% of Foot & Ankle Surgery providers received nationally (typical 2025 total: $424).
Payments by year
General and research payments by program year, as reported to CMS.
General payments by year: 2019: $3,987 · 2020: $1,534 · 2021: $3,590 · 2022: $10K · 2023: $90K · 2024: $17K · 2025: $29K.
What the payments were for
Nature of payment as categorized by the reporting companies: meals, consulting, travel, and so on.
Consulting Fee: $66K · Debt Forgiveness: $55K · Travel and Lodging: $8,383 · Food and Beverage: $4,911.
View as a table
| Payment type | Amount (2023-2025) |
|---|---|
| Consulting Fee | $66,339.23 |
| Debt Forgiveness | $55,440.00 |
| Travel and Lodging | $8,383.34 |
| Food and Beverage | $4,910.70 |
Payment-type detail covers 2023-2025; earlier years are included in totals but not broken out here.
Who reported paying
General payments only, as reported to CMS. Research payments are listed separately below. Product names cover 2023-2025.
| Company | General payments | Years | Top products |
|---|---|---|---|
| Smith+Nephew, INC. | $56,814.60 | 2019-2025 | Grafix Pl, Stravix, Collagenase Santyl |
| Medshape, INC. | $38,156.33 | 2022-2025 | Dynanail Helix, Washer, 15 Mm, Dynanail, Dynanail Mini |
| Orthofix Medical, INC. | $25,976.75 | 2019-2025 | Truelok, Ankle Hindfoot Nailing System, Physio-Stim |
| Trilliant Surgical LLC. | $18,286.85 | 2021-2025 | Arsenal Sinus Support Plate, Arsenal Ankle 10 Hole 1/3 Tubular Plate |
| Stryker Corporation | $4,431.69 | 2019-2024 | Gamma, Citrefix, T2 |
| Anika Therapeutics, INC. | $1,597.39 | 2021-2025 | Tactoset, Integrity, Sports Medicine |
| Nextremity Solutions INC. | $1,559.82 | 2021 | |
| Triad Life Sciences INC. | $1,390.55 | 2022 | |
| Encore Medical, LP | $1,383.08 | 2021-2025 | |
| Metric Medical Devices, INC. | $1,250.00 | 2024 | Link |
| Integra Lifesciences Corporation | $413.42 | 2019-2022 | |
| Bioventus LLC | $382.15 | 2019-2025 | Exogen Ultrasound Bone Healing System, Exogen Ultrasound Bone Healing System |
| Averitas Pharma INC. | $349.58 | 2024-2025 | Qutenza |
| Bone Support INC. | $291.82 | 2020-2024 | Ceramentbone Void Filler, Cerament G |
| Arthrosurface Incorporated | $281.88 | 2020 |
Show all 43 companies
| Company | General payments | Years | Top products |
|---|---|---|---|
| Paratek Pharmaceuticals, INC. | $228.45 | 2022-2025 | Nuzyra |
| Mimedx Group, INC. | $199.36 | 2024 | |
| Kerecis Limited | $146.63 | 2021-2025 | Kerecis Surgiclose, Kerecis Graftguide, Kerecis Omega3 Surgiclose |
| Depuy Synthes Sales INC. | $143.53 | 2022-2024 | Healix Knotless Peek, Quickanchor Ethibond |
| Pylant Medical | $109.09 | 2019 | |
| Horizon Therapeutics Plc | $108.23 | 2022-2023 | Krystexxa |
| Nvision Biomedical Technologies, INC. | $104.16 | 2022 | |
| Amgen INC. | $92.32 | 2024-2025 | Krystexxa |
| Polynovo North America LLC | $72.96 | 2023-2025 | Novosorb Btm |
| Innovation Technologies INC | $72.39 | 2024 | Irrisept |
| Musculoskeletal Transplant Foundation INC. | $63.14 | 2021-2024 | |
| Grt US Holding, INC. | $56.06 | 2021-2022 | |
| Convatec INC. | $49.92 | 2021-2023 | |
| Organogenesis INC. | $49.50 | 2021-2023 | Puraply |
| Ossio INC | $40.39 | 2022 | |
| Treace Medical Concepts, INC. | $37.37 | 2024 | |
| Polarityte, INC. | $26.75 | 2019 | |
| Ethicon US, LLC | $24.01 | 2024 | Stratafix |
| Acell, INC. | $23.79 | 2020 | |
| Djo, LLC | $21.43 | 2020 | |
| Ibsa Pharma INC. | $20.58 | 2023 | Tirosint, Licart |
| Abbott Laboratories | $20.31 | 2024 | Proclaim |
| Alfasigma USA, INC. | $19.98 | 2022 | |
| Lifenet Health | $15.39 | 2024 | Theragenesis Wound Matrix |
| Solventum Corporation | $14.66 | 2024 | Activ.A.C. |
| Kci USA, INC. | $11.87 | 2020 | |
| Misonix INC | $11.71 | 2019 | |
| Access Pro Medical, LLC | $11.06 | 2023 | Matriderm |
Drugs and devices associated with these payments
CMS records which products a payment was associated with, not how the money was allocated. Association is not allocation: one payment can be associated with several products, and a product listing does not mean the payment was made because of that product. Product detail covers 2023-2025.
Research and ownership
$4,425.00 in research payments reported 2019-2025. Research payments are often institution-directed and tied to clinical trials: they are reported under a clinician's name but frequently go to a hospital or research organization, and usually reflect participation in medical research.
If you want to bring it up
Most clinicians are glad to talk about this. A respectful way in:
- "I saw Dalton Ryba listed in the CMS Open Payments database. Can you tell me about your work with those companies?"
- "Is there a generic or alternative to this medication, and would it work as well for me?"
- "What made you choose this particular treatment for my situation?"
These are normal questions. A good clinician will welcome them.
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Source: CMS Open Payments, program years 2019-2025, as reported to CMS by drug and device makers (published June 30, 2026). Drug and device detail covers 2023-2025.