Alicia Cowan, MD
Hand Surgery · Fort Myers, FLNPI 1376868026
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (53.6%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Arthrex accounts for 63.2% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $1,868 and has fallen 85.5% since, to $272 in 2025. That places this record below the midpoint for hand surgery clinicians in FL, where the typical reported total is $3,372.
Across 63 payments — averaging $53.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Arthrex$2K
- Coastal Medical Technologies LLC$199
- Endo Pharmaceuticals Inc.$198
- DJO, LLC$155
- AbbVie$117
- Endo USA, Inc.$106
- plus $465 from 11 others
What the payments were for
- Travel & lodging$1625%
- Food & beverage$1,40242%
- Education$1,80754%
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 |
|---|---|---|
| Arthrex | 12 | $2,130 |
| Coastal Medical Technologies LLC | 4 | $199 |
| Endo Pharmaceuticals Inc. | 11 | $198 |
| DJO, LLC | 5 | $155 |
| AbbVie | 6 | $117 |
| Endo USA, Inc. | 4 | $106 |
| Amgen | 5 | $90 |
| Axogen | 2 | $72 |
| Checkpoint Surgical, Inc | 3 | $63 |
| Metric Medical Devices, Inc. | 1 | $48 |
| Boston Scientific | 2 | $46 |
| Sonex Health, Inc. | 2 | $36 |
| Bioventus LLC | 1 | $33 |
| Integra Lifesciences Corporation | 2 | $27 |
| Trimed, Inc. | 1 | $24 |
| Medtronic | 1 | $19 |
| Biocomposites Inc | 1 | $8 |
How this compares
$3,372 in reported general payments places this provider in the 50th percentile of 173 hand surgery providers in Florida.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 21 | $294 |
| Methylprednisolone | 20 | $137 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 24 | $83 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 11 | $71 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Fort Myers
- Thomas HuntFort Myers$11K
- Spencer SkinnerFort Myers$6K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Justin ZumstegOrlando$133K
- Maria-Carolina Orbay AranMiami$108K
- Paul PatersonVero Beach$104K
- Helen Hui-ChouMiami$95K
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.