Donald Trimble, DO
Orthopaedic Surgery · Gainesville, FLNPI 1043216864
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $25,212 of the $29,039 with a category attached, or 86.8%. Choice Spine, LLC accounts for 86.8% of it on its own, with 11 other manufacturers making up the rest. Reporting peaked in 2019 at $14,229 and has fallen 98.3% since, to $236 in 2025.
Across 47 payments — averaging $617.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Choice Spine, LLC$25K
- Abbott$3K
- Boston Scientific$427
- Si-bone, Inc.$206
- Smith+Nephew$188
- Nevro Corp.$145
- plus $225 from 6 others
Across 10 payments — averaging $9375.00 each. An ownership or investment interest held by the physician or an immediate family member.
- Novapproach Spine, LLC$94K
- Innovation Technologies Inc$0
What the payments were for
- Royalty or licence$25,21287%
- Travel & lodging$2,0687%
- Food & beverage$1,6376%
- Education$770%
- Gifts$440%
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 |
|---|---|---|
| Choice Spine, LLC | 4 | $25,212 |
| Abbott | 17 | $2,636 |
| Boston Scientific | 12 | $427 |
| Si-bone, Inc. | 4 | $206 |
| Smith+Nephew | 2 | $188 |
| Nevro Corp. | 2 | $145 |
| Vertos Medical, Inc. | 1 | $89 |
| Integrity Implants Inc. | 1 | $44 |
| Surgalign Spine Technologies, Inc. | 1 | $32 |
| Medtronic | 1 | $29 |
| Spinal Elements, Inc. | 1 | $16 |
| Spine Wave, Inc. | 1 | $14 |
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.
- Blackhawk$21,745
- Blackhawk Cervical Spacer System$3,468
- PROCLAIM$2,401
- PICO$170
- Senza Spinal Cord Stimulation System$133
- GENERAL PAIN MANAGEMENT$124
- iFuse Implant$110
How this compares
$29,039 in reported general payments places this provider in the 75th 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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 197 | $3,518 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 100 | $1,167 |
| Gabapentin | 80 | $1,008 |
| Celecoxib | 24 | $522 |
| Tramadol Hcl | 66 | $344 |
| Oxycodone Hcl | 31 | $281 |
| Cyclobenzaprine Hcl | 25 | $214 |
| Methylprednisolone | 24 | $158 |
| Methocarbamol | 15 | $133 |
| Pregabalin | 12 | $132 |
| Cephalexin | 66 | $109 |
| Meloxicam | 21 | $18 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Gainesville
- Rull James ToussaintGainesville$802K
- Richard VlasakGainesville$773K
- Kevin FarmerGainesville$772K
- 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
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.