David Dominguez, MD
Orthopaedic Surgery · Melbourne, FLNPI 1467694521
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $5,083 of the $6,330 with a category attached, or 80.3%. Stryker accounts for 81.1% of it on its own, with 13 other manufacturers making up the rest. Reporting peaked in 2019 at $4,866 and has fallen 93.9% since, to $297 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in FL, where the typical reported total is $5,564.
Across 57 payments — averaging $111.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Arthrex$503
- Vericel Corporation$183
- Miach Orthopaedics, Inc.$139
- Johnson & Johnson$133
- Pacira Pharmaceuticals Incorporated$38
- plus $200 from 8 others
What the payments were for
- Consulting fees$5,08380%
- Travel & lodging$5148%
- Food & beverage$73312%
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 |
|---|---|---|
| Stryker | 7 | $5,134 |
| Arthrex | 7 | $503 |
| Vericel Corporation | 28 | $183 |
| Miach Orthopaedics, Inc. | 1 | $139 |
| Johnson & Johnson | 2 | $133 |
| Pacira Pharmaceuticals Incorporated | 2 | $38 |
| Trice Medical, Inc. | 1 | $34 |
| Smith+Nephew | 2 | $30 |
| Reel Surgical, Inc. | 1 | $30 |
| Nevro Corp. | 1 | $29 |
| Theragen, Inc. | 2 | $28 |
| Vertex | 1 | $20 |
| Medtronic | 1 | $17 |
| Embody, Inc. | 1 | $12 |
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.
- PERFORMANCE SOLUTIONS$5,083
- ATTUNE$114
How this compares
$6,330 in reported general payments places this provider in the 50th percentile of 1,263 orthopaedic 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.
Other orthopaedic surgery in Melbourne
- Richard HynesMelbourne$34.8M
- Kenneth SandsMelbourne$407K
- Andrew CooperClearwater$102M
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- George HaidukewychOrlando$10M
- Robert SantrockFernandina Beach$7.3M
- Martin RocheFt. Lauderdale$7.1M
- Steven LyonsTampa$6.7M
- Thomas BernasekTemple Terrace$6.4M
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.