David Guerra
Obstetrics & Gynecology · Vero Beach, FLNPI 1669560926
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.4% of the total across 72 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 24 manufacturers reported payments, led by Intuitive Surgical at 37.2% of the total. Reporting peaked in 2023 at $518 and has fallen 77.2% since, to $118 in 2025.
Across 72 payments — averaging $27.07 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$726
- Indivior Inc.$241
- AbbVie$198
- Hologic Sales And Service, LLC$91
- Roche Diagnostics Corporation$82
- Mayne Pharma Commercial LLC$72
- plus $540 from 18 others
What the payments were for
- Food & beverage$1,93899%
- Education$111%
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 |
|---|---|---|
| Intuitive Surgical | 8 | $726 |
| Indivior Inc. | 11 | $241 |
| AbbVie | 11 | $198 |
| Hologic Sales And Service, LLC | 6 | $91 |
| Roche Diagnostics Corporation | 4 | $82 |
| Mayne Pharma Commercial LLC | 3 | $72 |
| Axonics, Inc. | 1 | $65 |
| Bayer | 3 | $58 |
| Evofem Biosciences, Inc. | 3 | $56 |
| Organon | 2 | $43 |
| Avion Pharmaceuticals | 3 | $42 |
| Johnson & Johnson | 2 | $39 |
| Novo Nordisk | 2 | $37 |
| Exeltis, USA Inc. | 2 | $35 |
| BD | 2 | $28 |
| Astellas Pharma US Inc | 1 | $22 |
| Pfizer | 1 | $20 |
| Bio Products Laboratory USA, Inc. | 1 | $17 |
| Merck | 1 | $16 |
| Myovant Sciences Inc. | 1 | $14 |
| Qiagen, LLC | 1 | $13 |
| Therapeuticsmd, Inc. | 1 | $12 |
| Lupin Inc. | 1 | $12 |
| AMAG Pharmaceuticals, 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
$1,949 in reported general payments places this provider in the 70th percentile of 2,438 obstetrics & gynecology providers in Florida.
Other obstetrics & gynecology in Vero Beach
- Kristy CrawfordVero Beach$44K
- Steven McCarusCelebration$2.3M
- Elliot CazesTampa$725K
- Charles BloomWinter Park$652K
- Jay CohenPlantation$556K
- Omar ZwainWinter Park$531K
- Keith AquaWellington$473K
- Jeffrey KotzenPalm Beach Gardens$413K
- Glenn BankertCrestview$388K
- Erica StockwellCelebration$321K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.