Daniel Penello
Hand Surgery · Largo, FLNPI 1851627475
Payments from drug & device makers
Across 108 payments — averaging $45.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Akcea Therapeutics, Inc.$2K
- Integra Lifesciences Corporation$413
- Stryker$335
- Globus Medical$322
- Endo Pharmaceuticals Inc.$251
- Smith+Nephew$139
- plus $1K from 25 others
What the payments were for
- Consulting fees$2,37548%
- Food & beverage$2,51051%
- Education$140%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Akcea Therapeutics, Inc. | 1 | $2,375 |
| Integra Lifesciences Corporation | 12 | $413 |
| Stryker | 13 | $335 |
| Globus Medical | 8 | $322 |
| Endo Pharmaceuticals Inc. | 15 | $251 |
| Smith+Nephew | 7 | $139 |
| Axogen | 3 | $128 |
| Amgen(2 entities) | 6 | $105 |
| Endo USA, Inc. | 5 | $97 |
| Johnson & Johnson | 3 | $89 |
| Orthofix Medical, Inc. | 7 | $82 |
| Organogenesis Inc. | 1 | $73 |
| Dynasplint Systems Inc. | 2 | $63 |
| MVP Orthopedics Inc | 2 | $51 |
| Electronic Waveform Lab, Inc. | 5 | $50 |
| Anika Therapeutics, Inc. | 2 | $45 |
| Pacira Pharmaceuticals Incorporated | 2 | $29 |
| Kerecis Limited | 1 | $29 |
| Checkpoint Surgical, Inc | 1 | $25 |
| Biocircuit Technologies Inc | 1 | $21 |
| Triad Life Sciences Inc. | 1 | $20 |
| Acumed LLC | 1 | $19 |
| Treace Medical Concepts, Inc. | 1 | $19 |
| Linvatec Corporation | 1 | $18 |
| Sonex Health, Inc. | 1 | $17 |
| Arthrosurface Incorporated | 1 | $17 |
| Bioventus LLC | 1 | $14 |
| Coastal Medical Technologies LLC | 1 | $14 |
| Paratek Pharmaceuticals, Inc. | 1 | $13 |
| Fidia Pharma USA Inc. | 1 | $13 |
| Zyla Life Sciences, 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.
How this compares
$4,899 in reported general payments places this provider in the 55th 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 |
|---|---|---|
| Ondansetron OdtOndansetron | 114 | $1,259 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 72 | $668 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 66 | $541 |
| Meloxicam | 88 | $375 |
| Tramadol Hcl | 73 | $204 |
| Ibuprofen | 14 | $184 |
| Methylprednisolone | 22 | $172 |
| Cephalexin | 14 | $87 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Largo
- Adam KopiecLargo$7K
- Jorge Orbay-CerratoMiami$12.5M
- Peter EvansStuart$525K
- Nirav GuptaOcala$491K
- Francisco RubioMiami$345K
- Paul PatersonVero Beach$253K
- Eduardo Gonzalez HernandezCoral Gables$160K
- Justin ZumstegOrlando$133K
- Alexander KrawieckiAventura$116K
- Tosca Kinchelow KulendranMiami Lakes$111K
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.