David Heligman, MD
Orthopaedic Surgery · Fort Myers, FLNPI 1972504512
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 31 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 17 manufacturers, the largest accounting for just 19.8% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $237 and has fallen 79.9% since, to $48 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in FL, where the typical reported total is $5,564.
Across 31 payments — averaging $23.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Smith+Nephew$145
- Zimmer Biomet$78
- Collegium Pharmaceutical, Inc.$73
- Mallinckrodt Enterprises LLC$63
- Amgen$58
- Si-bone, Inc.$55
- plus $261 from 11 others
What the payments were for
- Food & beverage$733100%
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 |
|---|---|---|
| Smith+Nephew | 3 | $145 |
| Zimmer Biomet | 2 | $78 |
| Collegium Pharmaceutical, Inc. | 3 | $73 |
| Mallinckrodt Enterprises LLC | 3 | $63 |
| Amgen | 4 | $58 |
| Si-bone, Inc. | 1 | $55 |
| ERMI LLC | 2 | $47 |
| Medtronic | 2 | $41 |
| Ferring Pharmaceuticals Inc. | 2 | $37 |
| Endo Pharmaceuticals Inc. | 2 | $32 |
| Orthogenrx Inc. | 1 | $18 |
| Avanos Medical | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $18 |
| Carbofix Orthopedics Inc | 1 | $15 |
| Pfizer | 1 | $15 |
| Zyla Life Sciences, Inc. | 1 | $12 |
| Fidia Pharma USA Inc. | 1 | $9 |
How this compares
$733 in reported general payments places this provider in the 20th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Naproxen | 31 | $273 |
| Methylprednisolone | 28 | $171 |
| Celecoxib | 15 | $117 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Fort Myers
- William HodgeFort Myers$1.1M
- Andrew CooperClearwater$102M
- Richard HynesMelbourne$34.8M
- 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.