Brett Smith, MD
Orthopaedic Surgery · Gulf Breeze, FLNPI 1912987306
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $2,750 of the $4,001 with a category attached, or 68.7%. Flower Orthopedics Coporation accounts for 68.7% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2021 at $2,908 and has fallen 89.3% since, to $312 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in FL, where the typical reported total is $5,564.
Across 36 payments — averaging $111.15 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Flower Orthopedics Coporation$3K
- Pacira Therapeutics, Inc.$468
- Stryker$237
- Johnson & Johnson$136
- Pacira Pharmaceuticals Incorporated$95
- Zimmer Biomet$75
- plus $240 from 8 others
What the payments were for
- Consulting fees$2,75069%
- Food & beverage$1,25131%
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 |
|---|---|---|
| Flower Orthopedics Coporation | 1 | $2,750 |
| Pacira Therapeutics, Inc. | 18 | $468 |
| Stryker | 2 | $237 |
| Johnson & Johnson | 1 | $136 |
| Pacira Pharmaceuticals Incorporated | 3 | $95 |
| Zimmer Biomet | 1 | $75 |
| Gemini Mountain Medical, LLC | 1 | $62 |
| Sanofi-aventis U.S. LLC | 2 | $44 |
| Nalu Medical, Inc. | 2 | $42 |
| Exactech, Inc. | 1 | $30 |
| Bioventus LLC | 1 | $17 |
| Smith+Nephew | 1 | $17 |
| Mayne Pharma Commercial LLC | 1 | $14 |
| Abbott | 1 | $13 |
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.
- MAKO$174
How this compares
$4,001 in reported general payments places this provider in the 40th percentile of 1,263 orthopaedic 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 | 66 | $1,878 |
| Diclofenac Sodium | 28 | $1,268 |
| Cephalexin | 16 | $550 |
| Clindamycin Hcl | 60 | $452 |
| Meloxicam | 73 | $293 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $189 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Gulf Breeze
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
- Steven LyonsTampa$6.7M
- Thomas BernasekTemple Terrace$6.4M
- Bryan SpringerJacksonville$6.3M
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.