Christian Birkedal, MD
Surgery · Daytona Beach, FLNPI 1043205404
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (50.7%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Intuitive Surgical accounts for 72.3% of it on its own, with 33 other manufacturers making up the rest. Reporting peaked in 2020 at $11,036 and has fallen 97.2% since, to $314 in 2025.
Across 127 payments — averaging $147.65 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$14K
- Medical Device Business Services, Inc.$3K
- Medtronic$794
- Smith+Nephew$224
- Johnson & Johnson$196
- Novo Nordisk$87
- plus $885 from 28 others
What the payments were for
- Travel & lodging$6,10133%
- Food & beverage$3,14217%
- Education$9,50051%
- Gifts$90%
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 |
|---|---|---|
| Intuitive Surgical | 36 | $13,553 |
| Medical Device Business Services, Inc. | 21 | $3,014 |
| Medtronic | 7 | $794 |
| Smith+Nephew | 11 | $224 |
| Johnson & Johnson | 8 | $196 |
| Novo Nordisk | 5 | $87 |
| Hologic Inc | 1 | $86 |
| Elucent Medical | 1 | $84 |
| Davol Inc. | 3 | $56 |
| Heron Therapeutics, Inc. | 3 | $51 |
| Vertex | 2 | $50 |
| GT Metabolic Solutions Inc | 1 | $44 |
| Lifenet Health | 1 | $43 |
| Teleflex LLC | 2 | $40 |
| TELA Bio, Inc. | 2 | $39 |
| Innocoll Pharmaceuticals Limited | 2 | $36 |
| Acera Surgical, Inc. | 2 | $32 |
| Boston Scientific | 2 | $30 |
| Ascensia Diabetes Care US Inc. | 1 | $30 |
| Focal Therapeutics, Inc. | 2 | $27 |
| Kerecis Limited | 1 | $25 |
| Otsuka America Pharmaceutical, Inc. | 1 | $22 |
| Aroa Biosurgery Incorporated | 1 | $19 |
| W. L. Gore & Associates, Inc. | 1 | $19 |
| Integra Lifesciences Corporation | 1 | $19 |
| Daiichi Sankyo Inc. | 1 | $18 |
| AbbVie | 1 | $18 |
| Lexington Medical, Inc. | 1 | $16 |
| LSI Solutions Inc | 1 | $16 |
| Endo Pharmaceuticals Inc. | 1 | $15 |
| Currax Pharmaceuticals LLC | 1 | $14 |
| Guard Medical Inc. | 1 | $14 |
| Checkpoint Surgical, Inc | 1 | $13 |
| KCI USA, Inc. | 1 | $11 |
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.
- Da Vinci Surgical System$12,835
- LINX Reflux Management System$1,236
- LigaSure$648
How this compares
$18,752 in reported general payments places this provider in the 85th percentile of 1,569 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 |
|---|---|---|
| Ondansetron Hcl | 231 | $1,215 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 139 | $600 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 44 | $250 |
| Pantoprazole Sodium | 42 | $190 |
| Cephalexin | 11 | $59 |
| Tramadol Hcl | 13 | $19 |
Paid to pharmacies, not to this prescriber.
Other surgery in Daytona Beach
- Bruce RamshawDaytona Beach$78K
- Jorge FlorinWinter Garden$2.2M
- Amit TaggarTampa$1.4M
- Keith KimCelebration$1.1M
- Richard DiciccoTampa$964K
- Elizabeth DovecLakeland$870K
- Christopher DucoinTampa$808K
- Andre TeixeiraOcala$731K
- Jose ErbellaBradenton$718K
- Anthony GonzalezMiami$686K
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.