David Roufaiel, MD
Pain Medicine · Jupiter, FLNPI 1356669014
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (44.0%), food and beverage and education — rather than concentrated in one kind of arrangement. 33 manufacturers reported payments, led by Spinal Simplicity, LLC at 42.2% of the total. Reporting peaked in 2022 at $29,245 and has fallen 91.4% since, to $2,507 in 2025. Among pain medicine clinicians in FL with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 460 payments — averaging $126.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spinal Simplicity, LLC$24K
- Vertos Medical, Inc.$14K
- Si-bone, Inc.$4K
- Nevro Corp.$3K
- Nutech Spine, Inc.$3K
- Boston Scientific$2K
- plus $8K from 27 others
What the payments were for
- Consulting fees$25,52444%
- Travel & lodging$8,25814%
- Food & beverage$12,68722%
- Education$11,49320%
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 |
|---|---|---|
| Spinal Simplicity, LLC | 88 | $24,478 |
| Vertos Medical, Inc. | 39 | $14,220 |
| Si-bone, Inc. | 3 | $4,047 |
| Nevro Corp. | 59 | $2,621 |
| Nutech Spine, Inc. | 1 | $2,500 |
| Boston Scientific | 54 | $2,166 |
| Arthrex | 5 | $2,017 |
| Relievant Medsystems, Inc. | 26 | $1,867 |
| Medtronic(2 entities) | 42 | $1,047 |
| Abbott | 38 | $719 |
| AbbVie(2 entities) | 20 | $405 |
| Collegium Pharmaceutical, Inc. | 17 | $315 |
| Scilex Pharmaceuticals Inc. | 16 | $292 |
| Axonics, Inc. | 4 | $242 |
| Nalu Medical, Inc. | 10 | $236 |
| Novo Nordisk | 7 | $146 |
| Pfizer | 6 | $123 |
| GRT US Holding, Inc. | 4 | $71 |
| Biodelivery Sciences International, Inc. | 4 | $65 |
| Stryker | 1 | $62 |
| Interventional Pain Technologies Inc. | 1 | $48 |
| Globus Medical | 2 | $47 |
| SPR Therapeutics, Inc | 2 | $40 |
| Curonix LLC | 2 | $38 |
| Stimwave Technologies Incorporated | 1 | $27 |
| Arbor Pharmaceuticals, Inc. | 1 | $21 |
| Electronic Waveform Lab, Inc. | 1 | $17 |
| Bioventus LLC | 1 | $15 |
| Johnson & Johnson | 1 | $15 |
| Averitas Pharma Inc. | 1 | $15 |
| Biohaven Pharmaceuticals, Inc. | 1 | $14 |
| Fidia Pharma USA Inc. | 1 | $14 |
| Pacira Pharmaceuticals Incorporated | 1 | $13 |
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.
- HA MINUTEMAN G3-R$22,902
- mild Device Kit$13,533
- IFUSE IMPLANT SYSTEM$4,000
- SiFix$2,500
- Intracept$1,643
- Superion Indirect Decompression System$1,056
- Senza Spinal Cord Stimulation System$591
- Senza$276
- INTELLIS$154
- KYPHON EXPRESS II KYPHOPAK TRAY$129
- Axonics$126
- Omnia$112
How this compares
$57,963 in reported general payments places this provider in the 95th percentile of 596 pain medicine 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 |
|---|---|---|
| Xtampza ErOxycodone Myristate | 37 | $22,011 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 554 | $17,990 |
| BelbucaBuprenorphine Hcl | 14 | $11,163 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 350 | $7,219 |
| Tramadol Hcl ErTramadol Hcl | 113 | $5,473 |
| Fentanyl | 45 | $5,053 |
| Oxycodone Hcl | 169 | $3,826 |
| Buprenorphine | 18 | $3,341 |
| Gabapentin | 263 | $2,978 |
| Morphine Sulfate ErMorphine Sulfate | 51 | $2,520 |
| Lidocaine | 13 | $1,478 |
| Tramadol Hcl | 209 | $1,428 |
| Morphine Sulfate | 21 | $936 |
| Tizanidine Hcl | 65 | $798 |
| Diclofenac Sodium | 41 | $733 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Collegium Pharmaceutical, Inc.Xtampza Er, Belbuca | $315 | $33,17351 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 596 pain medicine providers in Florida.
Other pain medicine in Jupiter
- Khushboo BaldevJupiter$22K
- Jeffrey GudinMiami$356K
- Joseph PergolizziNaples$333K
- Ramon Cuevas-TrisanRiviera Beach$220K
- Navdeep JassalLakeland$163K
- Mark-Friedrich HurdleJacksonville$140K
- Rodolfo GariTampa$120K
- Stephen PylesOcala$115K
- Orlando FloreteJacksonville$86K
- Michael GreeneMiddleburg$73K
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.