Brian Vickaryous, MD
Sports Medicine · Lake Mary, FLNPI 1902805575
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.9%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medical Device Business Services, Inc. accounts for 64.0% of it on its own, with 16 other manufacturers making up the rest. Reporting peaked in 2019 at $10,559 and has fallen 75.0% since, to $2,639 in 2025. Among sports medicine 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 140 payments — averaging $226.89 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$20K
- Stryker$5K
- Arthrex$4K
- Reel Surgical, Inc.$1K
- Zimmer Biomet$330
- Johnson & Johnson$196
- plus $544 from 11 others
What the payments were for
- Consulting fees$18,40358%
- Travel & lodging$6,65421%
- Food & beverage$5,10116%
- Education$1,6085%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 16 | $20,317 |
| Stryker | 47 | $4,633 |
| Arthrex | 52 | $4,440 |
| Reel Surgical, Inc. | 2 | $1,304 |
| Zimmer Biomet | 5 | $330 |
| Johnson & Johnson | 5 | $196 |
| Smith+Nephew | 2 | $176 |
| Avanos Medical | 1 | $90 |
| Bioventus LLC | 2 | $69 |
| Carbofix Orthopedics Inc | 1 | $56 |
| US Implant Solutions, LLC | 1 | $46 |
| Heron Therapeutics, Inc. | 1 | $28 |
| Pacira Pharmaceuticals Incorporated | 1 | $20 |
| Medtronic | 1 | $18 |
| Stimwave Technologies Incorporated | 1 | $16 |
| Curonix LLC | 1 | $14 |
| Orthofix Medical, Inc. | 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.
- VA-LCP PLATES & SCREWS$15,041
- MULTILOC HUMERAL NAIL$15,041
- PRO$1,624
- PANGEA$712
- MAKO$499
- GRYPHON$202
- VARIAX$175
- Journey II$147
- Legion Revision$147
- ADAPT$122
- T2$111
- GAMMA$111
- Connected Health-None$106
How this compares
$31,765 in reported general payments places this provider in the 90th percentile of 402 sports medicine 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 | 83 | $1,468 |
| Oxycodone Hcl | 48 | $237 |
| Gabapentin | 24 | $223 |
| Methylprednisolone | 33 | $192 |
| Methocarbamol | 24 | $150 |
| Tramadol Hcl | 34 | $119 |
Paid to pharmacies, not to this prescriber.
Other sports medicine in Lake Mary
- Lee KaplanMiami$11.3M
- Patrick SmithNaples$2.9M
- Ryan SimovitchWest Palm Beach$1.1M
- Bruce LevyOrlando$816K
- Gautam YagnikMiami$440K
- Carl DilellaVero Beach$384K
- Adam AnzGulf Breeze$354K
- Stanton LongeneckerJacksonville$330K
- Luga PodestaNaples$206K
- Julianne MunozMiami$149K
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.