David Butler
Pediatrics · Fort Myers, FLNPI 1477676575
Payments from drug & device makers
Across 65 payments — averaging $17.58 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Merck$192
- Corium, LLC$169
- Pfizer$126
- Ironshore Pharmaceuticals Inc.$111
- Shire North American Group Inc$84
- Collegium Pharmaceutical, Inc.$77
- plus $383 from 17 others
What the payments were for
- Food & beverage$1,143100%
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 |
|---|---|---|
| Merck | 10 | $192 |
| Corium, LLC | 10 | $169 |
| Pfizer | 7 | $126 |
| Ironshore Pharmaceuticals Inc. | 7 | $111 |
| Shire North American Group Inc | 5 | $84 |
| Collegium Pharmaceutical, Inc. | 4 | $77 |
| Supernus Pharmaceuticals, Inc. | 3 | $44 |
| Novo Nordisk | 2 | $35 |
| Boston Scientific | 1 | $34 |
| Tris Pharma Inc | 2 | $31 |
| Biogen | 1 | $25 |
| GSK | 2 | $22 |
| Genentech USA, Inc. | 1 | $20 |
| Neurelis, Inc. | 1 | $19 |
| UCB, Inc. | 1 | $19 |
| Alk-abello, Inc | 1 | $19 |
| Sobi, Inc | 1 | $18 |
| Neos Therapeutics, LP | 1 | $18 |
| Lilly USA, LLC | 1 | $17 |
| Hologic Sales And Service, LLC | 1 | $17 |
| AstraZeneca | 1 | $16 |
| Dexcom, Inc. | 1 | $14 |
| Amgen | 1 | $14 |
How this compares
$1,143 in reported general payments places this provider in the 80th percentile of 3,964 pediatrics providers in Florida.
Other pediatrics in Fort Myers
- Lilia Roque-GuerreroMiami$39.1M
- Kimberly CruzPompano Beach$19.9M
- Teena HughesTampa$8.2M
- Lazaro NunezCoral Gables$4.6M
- Nora DanielMiami$3.4M
- Hector CorderoNaples$2.6M
- Randall ReeseGulf Breeze$2.3M
- Karen KellyClearwater$2.2M
- Salma ElfakiOrlando$1.9M
- Jorge Lujan-ZilbermanTampa$1.6M
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.