Dwayne Ledesma, MD
General Practice · Trinity, FLNPI 1013995687
Payments from drug & device makers
What this record shows
This record is dominated by education: $10,349 of the $13,402 with a category attached, or 77.2%. Intuitive Surgical accounts for 93.4% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $6,677 and has fallen 97.9% since, to $140 in 2025. Among general practice 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 91 payments — averaging $147.28 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$13K
- Medtronic$237
- Angiodynamics, Inc.$230
- Cardiovascular Systems Inc.$192
- Conmed Corporation$86
- Davol Inc.$62
- plus $80 from 3 others
What the payments were for
- Travel & lodging$4683%
- Food & beverage$2,58519%
- Education$10,34977%
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 |
|---|---|---|
| Intuitive Surgical | 62 | $12,517 |
| Medtronic(2 entities) | 7 | $237 |
| Angiodynamics, Inc. | 4 | $230 |
| Cardiovascular Systems Inc. | 10 | $192 |
| Conmed Corporation | 4 | $86 |
| Davol Inc. | 1 | $62 |
| Silk Road Medical, Inc. | 1 | $34 |
| Abbott | 1 | $27 |
| Boston Scientific | 1 | $19 |
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.
- Da Vinci Surgical System$7,647
- DAVINCI XI$3,000
- VenaCure 1470 Pro$165
How this compares
$13,402 in reported general payments places this provider in the 95th percentile of 6,901 general practice 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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 322 | $2,983 |
| Tramadol Hcl | 265 | $546 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 33 | $317 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 22 | $108 |
| Tamsulosin Hcl | 48 | $107 |
| Neomycin Sulfate | 13 | $85 |
| Diazepam | 45 | $35 |
| Metronidazole | 15 | $32 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $27 |
Paid to pharmacies, not to this prescriber.
Other general practice in Trinity
- Xhoana Gjelaj-VarfiTrinity$17K
- Robert VogelPalm Beach Gardens$1M
- Bruce OuelletteWest Palm Beach$724K
- Caley CasteleinMiami Beach$586K
- Sarah JockinTampa$308K
- Mario RomeroSarasota$275K
- Robert RitterJupiter$233K
- Robert AltharPensacola$231K
- Florencia ZiemkeWest Palm Beach$208K
- Ausberto HidalgoPembroke Pines$171K
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.