Brett Lewellyn, MD
Hand Surgery · Orlando, FLNPI 1629229208
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (53.3%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. Stryker accounts for 69.8% of it on its own, with 24 other manufacturers making up the rest. 2025 is the largest year on record at $27,441, more than ten times the $1,056 reported in 2019. Among hand surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 166 payments — averaging $247.12 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$29K
- Arthrex$4K
- Reel Surgical, Inc.$2K
- Integra Lifesciences Corporation$1K
- Acumed LLC$1K
- Axogen$1K
- plus $3K from 19 others
What the payments were for
- Consulting fees$21,86053%
- Grants$8252%
- Travel & lodging$6,84917%
- Food & beverage$7,73619%
- Education$3,7529%
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 |
|---|---|---|
| Stryker(2 entities) | 60 | $28,648 |
| Arthrex | 8 | $4,017 |
| Reel Surgical, Inc. | 12 | $1,850 |
| Integra Lifesciences Corporation | 24 | $1,359 |
| Acumed LLC | 10 | $1,201 |
| Axogen | 6 | $1,076 |
| Skeletal Dynamics Inc | 3 | $907 |
| Trimed, Inc. | 3 | $512 |
| Smith+Nephew | 8 | $266 |
| Endo Pharmaceuticals Inc. | 13 | $241 |
| Checkpoint Surgical, Inc | 2 | $154 |
| Bone Support Inc. | 1 | $133 |
| Medartis Inc. | 1 | $132 |
| Biocomposites Inc | 1 | $125 |
| Renerve Ltd | 1 | $107 |
| Johnson & Johnson | 3 | $106 |
| Endo USA, Inc. | 2 | $34 |
| Ferring Pharmaceuticals Inc. | 1 | $26 |
| Osteomed LLC | 1 | $25 |
| Innovation Technologies Inc | 1 | $25 |
| Acell, Inc. | 1 | $23 |
| Electronic Waveform Lab, Inc. | 1 | $22 |
| ERMI LLC | 1 | $17 |
| Kerecis Limited | 1 | $11 |
| US Implant Solutions, LLC | 1 | $5 |
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.
- PRO$12,923
- VARIAX$11,767
- PANGEA$1,963
- AUGMENT INJECTABLE$1,200
- AXSOS$1,200
- HOFFMANN$1,200
- GAMMA$1,200
- Geminus$898
- Align$898
- IJS$898
- Implate$898
- ACUMED$825
- AxoGuard Nerve Protector$552
- AxoGuard Nerve Connector$552
- INTEGRA$484
- AVANCE NERVE GRAFT$445
- TENOGLIDE$164
- INTEGRA DERMAL REGENERATION TEMPLATE$161
- PRIMATRIX$161
- BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION$145
How this compares
$41,022 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Celecoxib | 23 | $262 |
| Meloxicam | 31 | $87 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Orlando
- Justin ZumstegOrlando$133K
- Bryan BrownOrlando$27K
- Amir KachooeiOrlando$19K
- Cody HillinOrlando$6K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Maria-Carolina Orbay AranMiami$108K
- Paul PatersonVero Beach$104K
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.