George Fyffe, MD
Obstetrics · Vero Beach, FLNPI 1295795813
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $2,554 of the $3,274 with a category attached, or 78.0%. 18 manufacturers reported payments, led by Intuitive Surgical at 46.3% of the total. Reporting peaked in 2024 at $1,165 and has fallen 84.9% since, to $176 in 2025.
Across 44 payments — averaging $74.42 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$2K
- Hologic Sales And Service, LLC$408
- Astellas Pharma US Inc$219
- Pacira Pharmaceuticals Incorporated$194
- Boston Scientific$185
- Baxter Healthcare$158
- plus $592 from 12 others
What the payments were for
- Travel & lodging$60618%
- Food & beverage$2,55478%
- Education$1003%
- Gifts$150%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 | 8 | $1,517 |
| Hologic Sales And Service, LLC | 12 | $408 |
| Astellas Pharma US Inc | 2 | $219 |
| Pacira Pharmaceuticals Incorporated | 2 | $194 |
| Boston Scientific | 2 | $185 |
| Baxter Healthcare | 3 | $158 |
| Medtronic | 2 | $141 |
| Mayne Pharma Commercial LLC | 1 | $125 |
| Applied Medical Resources Corporation | 2 | $77 |
| C. R. Bard, Inc. & Subsidiaries | 1 | $54 |
| Vertex | 1 | $31 |
| Coopersurgical, Inc. | 2 | $30 |
| Exact Sciences | 1 | $28 |
| Smith+Nephew | 1 | $24 |
| AbbVie | 1 | $23 |
| KCI USA, Inc. | 1 | $23 |
| Shield Therapeutics Inc | 1 | $19 |
| Therapeuticsmd, Inc. | 1 | $18 |
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$1,367
- ANNOVERA$125
- FLOSEAL$122
- Veozah$119
- AMS$109
- EXPAREL$107
- ACESSA PROVU SYSTEM$105
How this compares
$3,274 in reported general payments places this provider in the 80th percentile of 78 obstetrics 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 |
|---|---|---|
| Estradiol | 50 | $3,487 |
| Estradiol (Once Weekly)Estradiol | 14 | $1,065 |
| ProgesteroneProgesterone, Micronized | 11 | $275 |
Paid to pharmacies, not to this prescriber.
Other obstetrics in Vero Beach
- Wilkens MondesirGreenacres$16K
- Phan NguyenNaples$14K
- Nasim KhanSebring$11K
- Ivonne ReynoldsMargate$11K
- Robert FeldmanSouth Miami$10K
- Isidro MartinezMiami$10K
- Michele LemayBradenton$10K
- Kyle GarnerSarasota$9K
- Robert BassPlantation$6K
- Sasha GourgueJacksonville$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.