David Joyce, MD
Orthopaedic Surgery · Tampa, FLNPI 1184893190
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $3,921 of the $5,871 with a category attached, or 66.8%. Stryker accounts for 67.2% of it on its own, with 10 other manufacturers making up the rest. Reporting peaked in 2019 at $2,316 and has fallen 61.2% since, to $898 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in FL, where the typical reported total is $5,564.
Across 44 payments — averaging $133.43 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$4K
- Curvafix, Inc.$825
- Onkos Surgical, Inc.$214
- Relievant Medsystems, Inc.$199
- Carbofix Orthopedics Inc$156
- Sanara Medtech Inc.$144
- plus $388 from 5 others
What the payments were for
- Speaking & faculty fees$75013%
- Travel & lodging$1,20020%
- Food & beverage$3,92167%
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 |
|---|---|---|
| Stryker | 22 | $3,945 |
| Curvafix, Inc. | 7 | $825 |
| Onkos Surgical, Inc. | 2 | $214 |
| Relievant Medsystems, Inc. | 3 | $199 |
| Carbofix Orthopedics Inc | 3 | $156 |
| Sanara Medtech Inc. | 1 | $144 |
| Baxter Healthcare | 2 | $128 |
| Nalu Medical, Inc. | 1 | $125 |
| Zimmer Biomet | 1 | $92 |
| Medtronic | 1 | $28 |
| Carbofix Spine Inc | 1 | $15 |
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.
- NONE$1,950
- GMRS$901
- CurvaFix IM Implant$649
- Intracept$299
- ELEOS LIMB SALVAGE SYSTEM$152
- CellerateRx$144
- ZIPSEAL 16 SURGICAL SKIN CLOSURE KIT$139
- Nalu Neurostimulation System$125
How this compares
$5,871 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Ciprofloxacin Hcl | 18 | $343 |
| Doxycycline Hyclate | 14 | $311 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Tampa
- Steven LyonsTampa$6.7M
- 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
- Thomas BernasekTemple Terrace$6.4M
- Bryan SpringerJacksonville$6.3M
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.