David Maxfield, MD
Orthopaedic Surgery · Temple Terrace, FLNPI 1417377227
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $5,331 of the $6,440 with a category attached, or 82.8%. Stryker accounts for 70.5% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2019 at $3,769 and has fallen 80.9% since, to $720 in 2025. That places this record below the midpoint for orthopaedic surgery clinicians in FL, where the typical reported total is $5,564.
Across 91 payments — averaging $70.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$5K
- Zimmer Biomet$379
- Heron Therapeutics, Inc.$301
- Medinc Of Texas$293
- Johnson & Johnson$269
- Smith+Nephew$182
- plus $476 from 7 others
What the payments were for
- Travel & lodging$1,10917%
- Food & beverage$5,33183%
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(2 entities) | 58 | $4,540 |
| Zimmer Biomet | 7 | $379 |
| Heron Therapeutics, Inc. | 3 | $301 |
| Medinc Of Texas | 5 | $293 |
| Johnson & Johnson | 4 | $269 |
| Smith+Nephew | 2 | $182 |
| Pacira Pharmaceuticals Incorporated | 6 | $137 |
| Axogen | 1 | $134 |
| Sotera Wireless, Inc. | 1 | $94 |
| Medical Device Business Services, Inc. | 1 | $58 |
| Vertex | 1 | $27 |
| Avanos Medical | 1 | $15 |
| Fidia Pharma USA 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.
- MAKO$2,154
- TRIDENT$830
- TRITANIUM$642
- ACCOLADE$609
- AXSOS$501
- TRIATHLON$369
- Zynrelef$270
- INSIGNIA$173
- T-Fix$170
- Journey II BCS$170
- PICO 7 Single Use Negative Pressure Wound Therapy$170
- REDAPT Revision Hip System$170
- AxoGuard Nerve Protector$134
- AxoGuard Nerve Connector$134
- MyMobility$103
How this compares
$6,440 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 |
|---|---|---|
| Celecoxib | 80 | $914 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 83 | $910 |
| Gabapentin | 76 | $669 |
| Diclofenac Sodium | 14 | $470 |
| Cefadroxil | 59 | $261 |
| Methocarbamol | 12 | $131 |
| Oxycodone Hcl | 16 | $106 |
| Methylprednisolone | 17 | $103 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 14 | $103 |
| Cyclobenzaprine Hcl | 19 | $66 |
| Tramadol Hcl | 12 | $35 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Temple Terrace
- Mark FrankleTemple Terrace$31M
- Roy SandersTemple Terrace$19.6M
- Thomas BernasekTemple Terrace$6.4M
- Kenneth GustkeTemple Terrace$5.2M
- Mark MighellTemple Terrace$4.3M
- Michael GarciaTemple Terrace$1.1M
- Christopher BakerTemple Terrace$575K
- John SmallTemple Terrace$467K
- Brian PalumboTemple Terrace$414K
- Andrew CooperClearwater$102M
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.