Dennis Alter, MD
Orthopedic Surgery · Palm Coast, FLNPI 1659375152
Payments from drug & device makers
What this record shows
17 manufacturers reported payments, led by Reel Surgical, Inc. at 52.9% of the total. Reporting peaked in 2021 at $1,288 and has fallen 92.7% since, to $94 in 2025.
Across 43 payments — averaging $52.75 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Reel Surgical, Inc.$1K
- Zimmer Biomet$252
- Johnson & Johnson$232
- Smith+Nephew$169
- Pacira Pharmaceuticals Incorporated$54
- Endo Pharmaceuticals Inc.$46
- plus $315 from 11 others
What the payments were for
- Food & beverage$1,06847%
- Education$1,20053%
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 |
|---|---|---|
| Reel Surgical, Inc. | 1 | $1,200 |
| Zimmer Biomet | 5 | $252 |
| Johnson & Johnson(2 entities) | 13 | $232 |
| Smith+Nephew | 7 | $169 |
| Pacira Pharmaceuticals Incorporated | 1 | $54 |
| Endo Pharmaceuticals Inc. | 3 | $46 |
| Bioventus LLC | 1 | $42 |
| Sanara Medtech Inc. | 1 | $40 |
| Davol Inc. | 2 | $38 |
| Stryker | 1 | $37 |
| Linvatec Corporation | 1 | $29 |
| Heraeus Medical, LLC. | 1 | $27 |
| Heron Therapeutics, Inc. | 1 | $24 |
| KCI USA, Inc. | 1 | $23 |
| Orthofix Medical, Inc. | 2 | $22 |
| Si-bone, Inc. | 1 | $20 |
| Guard Medical Inc. | 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.
- Persona Revision$138
How this compares
$2,268 in reported general payments places this provider in the 65th percentile of 37 orthopedic 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 | 32 | $1,063 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 31 | $515 |
| Meloxicam | 71 | $288 |
| Tramadol Hcl | 27 | $173 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 14 | $90 |
| Amoxicillin | 38 | $32 |
Paid to pharmacies, not to this prescriber.
Other orthopedic surgery in Palm Coast
- Gregory MartinBoynton Beach$441K
- Alejandro BadiaMiami$104K
- Ross StoneAtlantis$28K
- Eric BradleyMiami$24K
- David BuchalterDelray Beach$20K
- Richard SmithOcoee$8K
- Julio RoblaMiami$7K
- Ismael MontaneMiami$5K
- Robert McShaneTitusville$4K
- David Font-RodriguezMiami$4K
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.