Daniel Vanuno, MD
Surgery · Pembroke Pines, FLNPI 1730360413
Payments from drug & device makers
What this record shows
The money is spread across several categories — education (48.2%), food and beverage and speaking fees — rather than concentrated in one kind of arrangement. 7 manufacturers reported payments, led by Intuitive Surgical at 59.9% of the total. Reporting peaked in 2024 at $1,650 and has fallen 61.7% since, to $632 in 2025. That places this record below the midpoint for surgery clinicians in FL, where the typical reported total is $2,683.
Across 18 payments — averaging $177.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Davol Inc.$985
- Smith+Nephew$104
- Cumberland Pharmaceuticals, Inc.$100
- W. L. Gore & Associates, Inc.$39
- AbbVie$29
- plus $22 from 1 others
What the payments were for
- Speaking & faculty fees$50016%
- Food & beverage$1,15236%
- Education$1,53948%
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 | 7 | $1,912 |
| Davol Inc. | 6 | $985 |
| Smith+Nephew | 1 | $104 |
| Cumberland Pharmaceuticals, Inc. | 1 | $100 |
| W. L. Gore & Associates, Inc. | 1 | $39 |
| AbbVie | 1 | $29 |
| Conmed Corporation | 1 | $22 |
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
$3,191 in reported general payments places this provider in the 50th 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 |
|---|---|---|
| Tramadol Hcl | 11 | $14 |
Paid to pharmacies, not to this prescriber.
Other surgery in Pembroke Pines
- 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
- Natan ZundelNorth Miami Beach$596K
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.