Derek Cuff, MD
Orthopaedic Surgery · Venice, FLNPI 1629036603
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $2,788,068 of the $4,089,314 with a category attached, or 68.2%. Ignite Orthopedics, LLC accounts for 64.6% of it on its own, with 12 other manufacturers making up the rest. 2025 is the largest year on record at $1,127,136, more than ten times the $63,490 reported in 2019. Among orthopaedic surgery 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 273 payments — averaging $14,979 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Ignite Orthopedics, LLC$2.6M
- Depuy Synthes Products, Inc.$1.2M
- Medical Device Business Services, Inc.$196K
- Encore Medical, LP$94K
- Stryker$1K
- Zimmer Biomet$397
- plus $430 from 7 others
Across 6 payments — averaging $416,826 each. An ownership or investment interest held by the physician or an immediate family member.
- Ignite Orthopedics, LLC$2.5M
What the payments were for
- Royalty or licence$2,788,06868%
- Consulting fees$326,7678%
- Travel & lodging$12,8020%
- Food & beverage$6,1880%
- Education$2970%
- Ownership interest$955,19323%
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 |
|---|---|---|
| Ignite Orthopedics, LLC | 37 | $2,641,630 |
| Depuy Synthes Products, Inc. | 42 | $1,155,570 |
| Medical Device Business Services, Inc. | 110 | $195,917 |
| Encore Medical, LP | 58 | $94,095 |
| Stryker | 11 | $1,275 |
| Zimmer Biomet | 4 | $397 |
| Johnson & Johnson | 3 | $171 |
| Smith+Nephew | 3 | $165 |
| MVP Orthopedics Inc | 1 | $41 |
| Arthrex | 1 | $22 |
| Coastal Medical Technologies LLC | 1 | $13 |
| Ossur Americas, Inc. | 1 | $12 |
| Heraeus Medical, LLC. | 1 | $5 |
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.
- INHANCE$895,840
- NA$139,430
- DJO Surgical AltiVate Anatomic System$84,819
- DJO Surgical AltiVate Reverse$84,550
- DJO Surgical Turon Modular Shoulder System$18,000
- DJO Surgical Discovery Elbow System$6,000
- DYNACORD$2,267
- DJO Surgical Match Point System$697
- DJO SURGICAL$560
- ACCOLADE$437
- Actishield$297
- Quattro$187
- Juggerknotless Soft Anchor$168
- HOFFMANN$161
- AXSOS$161
- T2$161
- IDEAL$124
- REUNION$115
How this compares
$4,089,314 in reported general payments places this provider in the 95th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 419 | $5,403 |
| Promethazine Hcl | 258 | $1,019 |
| Tramadol Hcl | 94 | $288 |
| Amoxicillin | 154 | $275 |
| Celecoxib | 16 | $144 |
| Methylprednisolone | 26 | $116 |
| Hydromorphone Hcl | 17 | $98 |
| Meloxicam | 13 | $69 |
| Diazepam | 21 | $39 |
| Clindamycin Hcl | 12 | $31 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Venice
- 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
- 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.